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Titolo:
Upper extremity digital subtraction venography with gadoterate meglumine before fistula creation for hemodialysis
Autore:
Geoffroy, O; Tassart, M; Le Blanche, AF; Khalil, A; Duedal, V; Rossert, J; Bigot, JM; Boudghene, FP;
Indirizzi:
Hop Tenon, Dept Radiol, F-75970 Paris 20, France Hop Tenon Paris France 20 p Tenon, Dept Radiol, F-75970 Paris 20, France Hop Tenon, Dept Vasc Surg, F-75970 Paris, France Hop Tenon Paris France F-75970 on, Dept Vasc Surg, F-75970 Paris, France Hop Tenon, Dept Nephrol, F-75970 Paris 20, France Hop Tenon Paris France20 Tenon, Dept Nephrol, F-75970 Paris 20, France
Titolo Testata:
KIDNEY INTERNATIONAL
fascicolo: 4, volume: 59, anno: 2001,
pagine: 1491 - 1497
SICI:
0085-2538(200104)59:4<1491:UEDSVW>2.0.ZU;2-B
Fonte:
ISI
Lingua:
ENG
Soggetto:
RADIOGRAPHIC CONTRAST AGENT; CARBON-DIOXIDE; GADOPENTETATE DIMEGLUMINE; RENAL-INSUFFICIENCY; GD-DTPA; INTERVENTIONAL PROCEDURES; IODINATED CONTRAST; VASCULAR ACCESS; ANGIOGRAPHY; FAILURE;
Keywords:
renal insufficiency; vascular access; contrast agent; arteriovenous fistula; dialysis access;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
35
Recensione:
Indirizzi per estratti:
Indirizzo: Tassart, M Hop Tenon, Dept Radiol, 4 Rue de la Chine, F-75970 Paris 20, France Hop Tenon 4 Rue de la Chine Paris France 20 0 Paris 20, France
Citazione:
O. Geoffroy et al., "Upper extremity digital subtraction venography with gadoterate meglumine before fistula creation for hemodialysis", KIDNEY INT, 59(4), 2001, pp. 1491-1497

Abstract

Background. The purpose of this study was to evaluate the feasibility, safety, and potential role of gadoterate meglumine (Gd-DOTA) as a contrast agent for upper extremity venography before the creation of an arteriovenous fistula (AVF) for nondialyzed renal insufficiency patients. Methods. Over a 16-month period, 50 venographies were performed on end-stage renal insufficiency patients, using Gd-DOTA as a contrast agent on a high-resolution digital subtraction angiography system. Three sequences were performed on forearm, arm, and chest at 3 mL/sec for a total of 35 mt of Gd-DOTA. Examinations were reviewed by two radiologists for diagnostic and opacification quality. Tolerance was evaluated on the evolution of serum creatinine levels and occurrence of pain during injection. Results. Good interobserver correlation was obtained in evaluating the feasibility of AVF creation by vein segment (0.64 < <kappa> < 0.88) and in relationship to opacification quality (0.62 to 0.87). No deterioration in renal function (creatinine level before and after) or pain was observed. Twenty-six patients underwent surgical creation of brachiobasilic (N = 8), brachiocephalic (N = 8), radiocephalic (N = 8), and cubito-cephalic (N = 1) fistulas or insertion of a polytetrafluoroethylene (PTFE) graft (N = 1). Seventeen were awaiting AVF or were on peritoneal dialysis. Two died before surgery for reasons unconnected with the venography. Conclusions. Venography with Gd-DOTA is an effective and safe technique inplanning AVFs for renal insufficiency patients.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 02/04/20 alle ore 18:41:58