CO2-DSA在小肠出血诊断中的价值

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Abstract Objective To compare the role of CO2-DSA and non-ionic iodine contrast agent in diagnosis of intestinal bleeding. Methods 20 cases of patients with small intestinal bleeding treated in Navy General Hospital of People′s Liberation Army from October 2015 to June 2017 were selected. Superior and inferior mesenteric arteries angiography were performed in 20 patients by use of both CO2 and iodinated contrast agent. Repeated angiography was performed with super-selective catheterization of the third level branches of suspected arteries. The images were evaluated blindly. The positive depicted of bleeding in both CO2 and iodine contrast agents were compared. Results Small intestinal bleeding was demonstrated in 7 cases (7/20) with CO2-DSA, while 9 cases with iodine contrast agent-DSA (9/20), there was no significant difference between the two groups (χ2=0.417, P > 0.05). Small intestinal bleeding was showed in 19 of the 20 cases by CO2-DSA (95.0%), while 14 cases (70.0%) by iodine contrast agents, with statistically significant difference (χ2=4.329, P < 0.05). Conclusion CO2 gas is superior to iodine contrast agent in demonstrating small intestinal bleeding in case of super-selective catheterization near the bleeding arteries.

Key words： Gastrointestinal bleeding Angiography Carbon dioxide Iodine contrast agent

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	LU Wei YANG Chao ZHANG Jiacheng YANG Jian DU Peng MA Junpeng ZHANG Zhe JIANG Fuqiang

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LU Wei YANG Chao ZHANG Jiacheng YANG Jian DU Peng MA Junpeng ZHANG Zhe JIANG Fuqiang. The value of CO2-DSA in the diagnosis of small intestinal bleeding[J]. 中国医药导报, 2018, 15(10): 118-121.

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http://www.yiyaodaobao.com.cn/EN/ OR http://www.yiyaodaobao.com.cn/EN/Y2018/V15/I10/118

[1] Sandhu C，Buckenham TM，Belli AM. Using CO2-enhanced arteriography to investigate acute gastrointestinal hemorrhage [J]. AJR，1999，173（5）：1399-1401.
[2] 卢伟，李彦豪，陈勇，等.二氧化碳血管造影的不良反应分析与处理[J].中华放射学杂志，2002，36（2）：120-122.
[3] Textor HJ，Wilhelm K，Strunk H，et al. The diagnosis of intra-abdominal hemorrhages with CO2 as the contrast medium [J]. Rofo，1997，166（1）：51-53.
[4] Hawkins IF. Carbon dioxide digital subtraction arteriography [J]. Am J Roentgenol，1982，139（1）：19-24.
[5] Huang SG，Woo K，Moos JM，et al. A prospective study of carbon dioxide digital subtraction versus standard contrast arteriography in the detection of endoleaks in endovascular abdominal aortic aneurysm repairs [J]. Ann Vasc Surg，2013，27（1）：38-44.
[6] Criado E，Upchurch GR Jr，Young K，et al. Endovascular aortic aneurysm repair with carbon dioxide-guided angiography in patients with renal insufficiency [J]. J Vasc Surg，2012，55（6）：1570-1575.
[7] Yu SC，Cho KJ. Carbon dioxide wedged arterial splenoportography：a new technique——a case report and an experimental study [J]. Acta Radiol，2009，50（3）：265-269.
[8] Lee AD，Hall RG. An evaluation of the use of carbon dioxide angiography in endovascular aortic aneurysm repair [J]. Vasc Endovascular Surg，2010，44（5）：341-344.
[9] Criado E. Endovascular repair of ruptured aortic aneurysms using carbon dioxide contrast angiography [J]. Ann Vasc Surg，2010，24（7）：845-850.?
[10] Hameed MA，Freedman JS，Watkin R，et al. Renal denervation using carbon dioxide renal angiography in patients with uncontrolled hypertension and moderate to severe chronic kidney disease [J]. Clin Kidney J，2017， 10（6）：778-782.
[11] Sag AA，Afsar B，Kanbay M. Renal artery intervention utilizing carbon dioxide angiography [J]. Clin Kidney J，2017，10（6）：776-777.
[12] Sharafuddin MJ，Marjan AE. Current status of carbon dioxide angiography [J]. J Vasc Surg，2017，66（2）：618-637.
[13] Kawashita S，Kaneuchi M，Nakayama D. Carbon dioxide angiography and arterial embolization could successfully control postpartum uterine hemorrhage for the patient with hypersensitivity to iodine compound [J]. Radiol Case Rep，2017，12（2）：261-264.
[14] Ghumman SS，Weinerman J，Khan A. Contrast induced-acute kidney injury following peripheral angiography with carbon dioxide versus iodinated contrast media：A meta-analysis and systematic review of current literature [J]. Catheter Cardiovasc Interv，2017，90（3）：437-448.
[15] Giusca S，Eisele T，Raupp D，et al. Successful carbondioxide angiography guided endovascular thrombectomy of the superficial femoral artery in a young patient with critical limb ischemia [J]. Heart Vessels，2017，32（3）：359-363.
[16] Stegemann E，Sansone R，Heiss C. Carbon Dioxide Angiography Is a Standard technique to supplement iodinated contrast angiography and can be a feasible alternative [J]. Angiology，2016，67（10）：974.
[17] Miki S，Mori K，Masanari S，et al. Hemosuccus pancreaticus in a patient with iodine allergy：successful diagnosis with magnetic resonance imaging and treatment with transarterial embolization using carbon dioxide as the contrast medium [J]. Cardiovasc Intervent Radiol，2009，32（6）：1296-1299.
[18] Dogan M，Un H，Aparci M，et al. CarbonDioxide Angiography [J]. Angiology，2016，67（10）：973.
[19] Haga M，Hoshina K，Shigematsu K，et al. A perioperative strategy for abdominal aortic aneurysm in patients with chronic renal insufficiency [J]. Surg Today，2016，46（9）：1062-1067.
[20] Maruyama H，Okugawa H，Ishibashi H，et al. Carbon dioxide-based portography：an alternative to conventional imaging with the use of iodinated contrast medium [J]. J Gastroenterol Hepatol，2010，25（6）：1111-1116.