Modern possibilities of CO2-angiography in critical lower limb ischemia

Authors: Musaev M.K., Musalov A.Yu., Ardavov A.M., Surkhaev R.S.

Company: Bakоulev National Medical Research Center for Cardiovascular Surgery, Moscow, Russian Federation

UDC: 616.137:617.5
DOI: https://doi.org/10.24022/1810-0694-2022-23-4-420-428

Cite as: Musaev M.K., Musalov A.Yu., Ardavov A.M., Surkhaev R.S. Modern possibilities of CO2-angiography in critical lower limb ischemia. The Bulletin of Bakoulev Center. Cardiovascular Diseases. 2022; 23 (4): 420–8 (in Russ.). DOI: 10.24022/1810-0694-2022-23-4-420-428

Received / Accepted: 21.06.2022 / 12.09.2022

Keywords: obliterating lesions of the lower limb arteries CO2-angiography percutaneous revascularization chronic kidney disease contrast-induced nephropathy

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Abstract

Diagnostic and interventional angiography is often indicated in patients with obliterating lesions of the lower limb arteries. The use of iodine-containing contrast agents can cause contrast-induced nephropathy. A safe alternative for an increased risk of developing contrast-induced nephropathy is CO2 angiography. In this paper, we present a comprehensive analysis of current technological advances in the field of delivery, visualization of CO2 angiography and its diagnostic value based on the analysis of domestic and foreign literature.

References

Alekyan B.G. (Ed.). Vascular, neurological, surgical, oncological, gynecological and urological diseases. In: Endovascular Surgery: National Guide. In four-vol. Vol. 3. Moscow: Litterra; 2017 (in Russ.).
Belch J.J., Topol E.J., Agnelli G., Bertrand M., Califf R.M., Clement D.L. et al. Prevention of atherothrombotic disease network. Critical issues in peripheral arterial disease detection and management: a call to action. Arch. Intern. Med. 2003; 163 (8): 884–92. DOI: 10.1001/archinte.163.8.884
Criqui M.H., Aboyans V. Epidemiology of peripheral artery disease. Circ. Res. 2015; 116 (9): 1509–26. DOI: 10.1161/CIRCRESAHA.116.303849
Aboyans V., Criqui M.H., Abraham P., Allison M.A., Creager M.A., Diehm C. et al. American Heart Association Council on Peripheral Vascular Disease; Council on Epidemiology and Prevention; Council on Clinical Cardiology; Council on Cardiovascular Nursing; Council on Cardiovascular Radiology and Intervention, and Council on Cardiovascular Surgery and Anesthesia. Measurement and interpretation of the ankle-brachial index: a scientific statement from the American Heart Association. Circulation. 2012; 126 (24): 2890–909. DOI: 10.1161/CIR.0b013e318276fbcb
2017 ESC Guidelines on the Diagnosis and Treatment of Peripheral Arterial Diseases, in collaboration with the European Society for Vascular Surgery (ESVS). Russian Journal of Cardiology. 2018; 23 (8): 164–221. DOI: 10.15829/1560-4071-2018-8-164-221
Gerhard-Herman M.D., Gornik H.L., Barrett C., Barshes N.R., Corriere M.A., Drachman D.E., et al. 2016 AHA/ACC Guideline on the management of patients with lower extremity peripheral artery disease: a report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. Circulation. 2017; 135 (12): e726–e779. DOI: 10.1161/CIR.0000000000000471
Nylaende M., Abdelnoor M., Stranden E., Morken B., Sandbaek G., Risum O. et al. The Oslo balloon angioplasty versus conservative treatment study (OBACT) – the 2-years results of a single centre, prospective, randomised study in patients with intermittent claudication. Eur. J. Vasc. Endovasc. Surg. 2007; 33: 3–12. DOI: 10.1016/j.ejvs.2007.01.017
Spronk S., Bosch J.L., den Hoed P.T., Veen H.F., Pattynama P.M., Hunink M.G. Cost-effectiveness of endovascular revascularization compared to supervised hospitalbased exercise training in patients with intermittent claudication: a randomized controlled trial. J. Vasc. Surg. 2008; 48 (6): 1472–80. DOI: 10.1016/j.jvs.2008.06.016
Lin J.C., Kabbani L.S., Peterson E.L., Masabni K., Morgan J.A., Brooks S. et al. Clinical utility of carotid duplex ultrasound prior to cardiac surgery. J. Vasc. Surg. 2016; 63 (3): 710–4. DOI: 10.1016/j.jvs.2015.10.008
Aboyans V., Desormais I., Magne J., Morange G., Mohty D., Lacroix P. Renal artery stenosis in patients with peripheral artery disease: prevalence, risk factors and long-term prognosis. Eur. J. Vasc. Endovasc. Surg. 2017; 53 (3): 380–5. DOI: 10.1016/j.ejvs.2016.10.029
Hill N.R., Fatoba S.T., Oke J.L., Hirst J.A., O'Callaghan C.A., Lasserson D.S. et al. Global prevalence of chronic kidney disease – a systematic review and meta-analysis. PLoS One. 2016; 11 (7): e0158765. DOI: 10.1371/journal.pone.0158765
Rumyantseva E.I. Chronic kidney disease as a global problem for public health: dynamics of morbidity and mortality. Problems of Standardization in Health Care. 2021; 1–2: 41–9 (in Russ.). DOI: 10.26347/1607- 2502202101-02041-049
Tomilina N.A., Bikbov B.T. renal replacement therapy for end-stage renal disease patients in Russian Federation, 1998–2011 (Report of the Russian Registry of Renal Replacement Therapy). Russian Journal of Transplantology and Artificial Organs. 2015; 17 (1): 35–58 (in Russ.) DOI: 10.15825/1995-1191-2015-1-35-58
Tomilina N.A., Andrusev A.M., Peregudova N.G., Shinkarev M.B. Replacement therapy for terminal chronic renal failure in the Russian Federation in 2010–2015. Report according to the All-Russian Register of Renal Replacement Therapy of the Russian Dialysis Society. Nephrology and Dialysis. 2017; 19 (S): 2–94 (in Russ.).
Dedov I.I., Shestakova M.V., Mayorov A.Yu. (Eds). Standards of specialized diabetes care. Мoscow; 2021 (in Russ.). DOI: 10.14341/DM12802
National Diabetes Statistics Report 2017. Estimates of diabetes and its burden in the United States. URL: https://www.cdc.gov/diabetes/pdfs/data/statistics/national-diabetes-statistics-report.pdf (дата обращения 20.05.2022).
Topfer L.A., Spry C. New technologies for the treatment of peripheral artery disease. 2018. In: CADTH Issues in Emerging Health Technologies. Ottawa (ON): Canadian Agency for Drugs and Technologies in Health; 2016. Available from: https://www.ncbi.nlm.nih.gov/books/NBK519606/
Windpessl M., Kronbichler A. Pro: Contrast-induced nephropathy-should we try to avoid contrast media in patients with chronic kidney disease? Nephrol. Dial Transplant. 2018; 33 (8): 1317–9. DOI: 10.1093/ndt/gfy149
Toprak O., Cirit M. Risk factors for contrast-induced nephropathy. Kidney Blood Press Res. 2006; 29 (2): 84–93. DOI: 10.1159/000093381
Arinze N.V., Gregory A., Francis J.M., Farber A., Chitalia V.C. Unique aspects of peripheral artery disease in patients with chronic kidney disease. Vasc. Med. 2019; 24 (3): 251–60. DOI: 10.1177/1358863X18824654
Paul R.E., Durant T.M., Oppenheimer M.J., Stauffer H.M. Intravenous carbon dioxide for intracardiac gas contrast in the roentgen diagnosis of pericardial effusion and thickening. Am. J. Roentgenol. Radium. Ther. Nucl. Med. 1957; 78 (2): 224–5. PMID: 13444515
Hawkins I.F. Carbon dioxide digital subtraction arteriography. Am. J. Roentgenol. 1982; 139 (1): 19–24. DOI: 10.2214/ajr.139.1.19
Maksimov A.V., Makarimov E.Sh., Glinkin V.V., Feyskhanov F.K. Carbon dioxide application experience in angiography. Practical Medicine. 2015; 4-1 (89): 97–100 (in Russ.).
Mshar S.V., Alekseev S.A., Apanasenko A.V. Carboxyangiography in endovascular interventions on the arteries of the lower extremities in elderly and senile patients. In: Topical issues and modern approaches to the provision of surgical care in the Republic of Belarus: collection of materials of the republican scientific and practical conference with international participation and the XXVIII Plenum of the Board of the Belarusian Association of Surgeons, Minsk, 19 November 2021. Minsk: Belarusian State Medical University; 2021: 222–4 (in Russ.).
Cho K.J. Carbon dioxide angiography: scientific principles and practice. Vasc. Specialist. Int. 2015; 31 (3): 67–80. DOI: 10.5758/vsi.2015.31.3.67
Pedersoli F., Bruners P., Kuhl C.K., Schmitz-Rode T. Aktuelle CO2-Angiographie [Current CO2 angiography]. Radiologe. 2019; 59 (6): 533–40. DOI: 10.1007/s00117-019-0533-6
Hawkins I.F. Jr, Caridi J.G., Klioze S.D., Mladinich C.R. Modified plastic bag system with O-ring fitting connection for carbon dioxide angiography. Am. J. Roentgenol. 2001; 176 (1): 229–32. DOI: 10.2214/ajr.176.1.1760229
Madhusudhan K.S., Sharma S., Srivastava D.N., Thulkar S., Mehta S.N., Prasad G. et al. Comparison of intraarterial digital subtraction angiography using carbon dioxide by 'home made' delivery system and conventional iodinated contrast media in the evaluation of peripheral arterial occlusive disease of the lower limbs. J. Med. Imaging. Radiat. Oncol. 2009; 53 (1): 40–9. DOI: 10.1111/j.1754-9485.2009.02035.х
Gupta A., Dosekun A.K., Kumar V. Carbon dioxideangiography for patients with peripheral arterial disease at risk of contrast-induced nephropathy. World. J. Cardiol. 2020; 12 (2): 76–90. DOI: 10.4330/wjc.v12.i2.76
Moos J.M., Ham S.W., Han S.M., Lew W.K., Hua H.T., Hood D.B. et al. Safety of carbon dioxide digital subtraction angiography. Arch. Surg. 2011; 146 (12): 1428–32. DOI: 10.1001/archsurg.2011.195
Cho K.J., Hawkins I.F. Jr. Discontinuation of the plastic bag delivery system for carbon dioxide angiography will increase radiocontrast nephropathy and life-threatening complications. Am. J. Roentgenol. 2011; 197 (5): W940–1. DOI: 10.2214/AJR.11.6639
URL: https://login.optimed.com/nc/en/products/category/arterial-interventions/product-details/p-kategorie/arterielle-interventionen/subkategorie/co2-angiografie/p-produkt/co2-druckreduzierventil/ (дата обращения 20.05.2022)
URL: https://www.researchgate.net/figure/AngiAssistAngioAdvancements-utilizes-a-reservoir-and-deliverysyringe-with-a-oneway_fig28_290125061/actions#caption (дата обращения 20.05.2022)
Derkach V.V., Shipovsky V.N. The use of automatic СО2 injector during interventions on the femoropopliteal segment. The first experience in Russia. Interventional Angiology. 2020; 60: 49–60 (in Russ.).
URL: https://www.angiodroid.com/products/co2-injector/ (дата обращения 20.05.2022)
Caridi J.G. Vascular imaging with carbon dioxide: confidence in a safe, efficacious, user-friendly System. Semin. Intervent. Radiol. 2015; 32 (4): 339–42. DOI: 10.1055/s0035-1564813
Palena L.M., Diaz-Sandoval L.J., Candeo A., Brigato C., Sultato E., Manzi M. Automated carbon dioxide angiography for the evaluation and endovascular treatment of diabetic patients with critical limb ischemia. J. Endovasc. Ther. 2016; 23 (1): 40–8. DOI: 10.1177/1526602815616924
Óriás V.I., Gyánó M., Góg I., Szöllősi D., Veres D.S., Nagy Z. et al. Digital variance angiography as a paradigm shift in carbon dioxide angiography. Invest. Radiol. 2019; 54 (7): 428–36. DOI: 10.1097/rli.0000000000000555
Thomas R.P., Bastian M.B., Viniol S., König A.M., Amin S.S., Eldergash O. et al. Digital variance angiography in selective lower limb interventions. J. Vasc. Interv. Radiol. 2022; 33 (2): 104–12. DOI: 10.1016/j.jvir. 2021.09.024

About the authors

Magomedrasul K. Musaev, Head of Department of X-ray Surgical, Electrophysiological Methods of Research and Treatment and Testing of the Latest Technologies; ORCID
Abdulgamid Yu. Musalov, Endovascular Surgeon; ORCID
Azamat M. Ardavov, Junior Researcher; ORCID
Rabazan S. Surkhaev, Resident Physician; ORCID

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Chief Editor

Elena Z. Golukhova, MD, PhD, DSc, Professor, Academician of Russian Academy of Sciences, Director of Bakoulev National Medical Research Center for Cardiovascular Surgery

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