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Acute limb ischemia can be potentially harmful to the limb and life threatening. Renal failure is a possible outcome associated with release of products of ischemic limb reperfusion. Some authors reported the benefit of performing angiography after embolectomy, even though iodine contrast is also nephrotoxic. We report a case of embolectomy on a patient with renal insufficiency in whom carbon dioxide was used as a substitute for iodine contrast.
Carbon dioxide as a substitute for iodine contrast in arteriography during embolectomy
WoloskerN, TeivelisMP, MendesCA, NishinariK, RibeiroMF, KuzniecS. Carbon dioxide as a substitute for iodine contrast in arteriography during embolectomy. Einstein (Sao Paulo). 2015;13(2):273-5. https://doi.org/10.1590/S1679-45082015RC2997
Wolosker,Nelson; Teivelis,Marcelo Passos; Mendes,Cynthia de Almeida; Nishinari,Kenji; Ribeiro,Mariângela de Freitas; Kuzniec,Sergio. Carbon dioxide as a substitute for iodine contrast in arteriography during embolectomy. Einstein (Sao Paulo)., v. 13, n. 2, p. 273-275, Jun. 2015. https://doi.org/10.1590/S1679-45082015RC2997
Wolosker,N., Teivelis,M.P., Mendes,C.A., Nishinari,K., Ribeiro,M.F., & Kuzniec,S. (2015). Carbon dioxide as a substitute for iodine contrast in arteriography during embolectomy. Einstein (Sao Paulo).,13(2), 273-275. https://doi.org/10.1590/S1679-45082015RC2997
Wolosker,Nelson and Teivelis,Marcelo Passos and Mendes,Cynthia de Almeida and Nishinari,Kenji and Ribeiro,Mariângela de Freitas and Kuzniec,Sergio. Carbon dioxide as a substitute for iodine contrast in arteriography during embolectomy. Einstein (Sao Paulo). [online]. 2015, vol. 13, n. 2, [cited 2025-09-27], pp.273-275. Available from: <https://journal.einstein.br/article/carbon-dioxide-as-a-substitute-for-iodine-contrast-in-arteriography-during-embolectomy/>. ISSN 1679-4508. https://doi.org/10.1590/S1679-45082015RC2997
Figure 3
Carbon dioxide arteriography. Anterior tibial artery contrast perfusion to the foot
