Tam Tıkalı Ana İliak Arterin; İonize Kontrast Madde Kullanmaksızın CO2’i Kontrast Ajan Olarak Kullanarak Endovasküler Yöntemle Tedavisi

Periferik arter hastaları arasında; kronik böbrek hastalığı yaygın olarak görülür. Güncel kılavuzlar bu hastalarda endovasküler tedavi yöntemlerini ilk tedavi seçeneği olarak önermektedir. Kontrastın indüklediği nefropati önceden kronik renal hastalığı, kalp yetersziliği olan veya işlem öncesi dehidrate kalan hastalarda oldukça yaygın olarak görünür ve bu durum hastanede yatış süresini ve mortaliteyi artırmaktadır. Bu tür hastalarda CO2 alternatif bir contrast ajan olarak kullanılabilir ve diğer gazlardan farklı olarak hemen hemen tamamı hızlı bir şekilde absorbe edilir. Bu vaka bildirisinde kronik böbrek hastalığı (glomerular filtration rate of 24 ml/min/1.77 m²) olan sol ana iliak arteri tam tıkalı bir hastada; contrast ajan olarak CO₂ in kullanıldığı bir vaka bildirilmiştir.

Anahtar Kelimeler:

CO₂, kontrast ajan

Endovascular Treatment of Totally Occluded Main Iliac Artery Using CO2 without Iodinated Contrast Medium

Chronic kidney disease is a common comorbidity in patients with peripheral artery disease (PAD). Current guidelines recommend an “endovascular first” strategy in cases where for revascularization is indicated Contrast-induced nephropathy (CIN) is a particularly common complication in patients with pre-existing chronic renal disease, diabetes, heart failure, and dehydration which is associated with increased time in hospital and long-term mortality Carbon dioxide (CO2) gas can be used as an alternative contrast agent, as it is absorbed almost instantaneously as opposed to other gases. In this report, we describe a case of percutaneous transluminal angioplasty of an occluded left main iliac artery using CO₂ as contrast medium due to the presence of severe chronic kidney disease (glomerular filtration rate of 24 ml/min/1.77 m²).

Keywords:

CO₂, contrast medium,

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