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Splanchnic neurolysis using carbon dioxide as the contrast agent
Kazuhiko Hirata1, Kazuo Higa, Shinjiro Shono
1Department of Anesthesiology, Fukuoka University School of Medicine, Fukuoka, Japan. hiratakz@fukuoka-u.ac.jp
Regional Anesthesia and Pain Medicine
|February 5, 2003
Summary
Carbon dioxide can be used as a safe contrast agent for splanchnic neurolysis in patients with iodinated contrast allergies. This alternative imaging method aids in pain management for chronic pancreatitis.
Area of Science:
- Interventional Radiology
- Pain Management
Background:
- Splanchnic neurolysis is a procedure to alleviate severe abdominal pain.
- Iodinated contrast agents are standard for visualizing injectate spread.
- Patient presented with chronic pancreatitis and intractable pain.
Observation:
- A patient allergic to iodinated contrast agents was considered for splanchnic neurolysis.
- Carbon dioxide was utilized as an alternative contrast agent.
- Fluoroscopic guidance confirmed the spread of carbon dioxide gas.
Findings:
- Carbon dioxide provided adequate visualization of injectate spread.
- The procedure successfully managed the patient's severe abdominal and back pain.
- Opioid dosage was significantly reduced post-procedure.
Implications:
- Carbon dioxide is a viable alternative contrast agent for splanchnic neurolysis.
- This technique expands treatment options for patients with contrast allergies.
- Effective pain control was achieved, improving patient quality of life.