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Related Experiment Videos

Iv-DSA as a screening study before conventional transarterial angiography.

K Minakuchi1, T Yamada, T Kaminoh

  • 1Department of Radiology, Osaka City University, Japan.

Radiation Medicine
|July 1, 1990
PubMed
Summary

Intravenous digital subtraction angiography (IV-DSA) with Ioversol is a safe and effective pre-procedural mapping tool for hepatic mass interventions. It provides crucial anatomical insights, aiding in the safe planning of subsequent intra-arterial angiography.

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Area of Science:

  • Interventional Radiology
  • Diagnostic Imaging
  • Hepatobiliary Medicine

Background:

  • Hepatic masses require precise vascular mapping for safe and effective treatment.
  • Conventional angiography carries risks and may not always provide sufficient pre-procedural information.
  • Intravenous digital subtraction angiography (IV-DSA) offers a less invasive alternative for vascular assessment.

Purpose of the Study:

  • To evaluate the utility of IV-DSA using Ioversol in patients with hepatic mass.
  • To assess the safety and efficacy of IV-DSA as a pre-procedural mapping tool.
  • To determine if IV-DSA can predict the feasibility of subsequent intra-arterial angiography.

Main Methods:

  • Twenty patients with hepatic mass underwent IV-DSA using the nonionic contrast medium Ioversol.

Related Experiment Videos

  • The study assessed the information provided by IV-DSA regarding abdominal aorta and pelvic artery conditions.
  • Complications from previous transarterial angiography were also evaluated.
  • Main Results:

    • IV-DSA successfully provided critical information on arteriosclerotic changes and aneurysms, aiding in safe procedural planning.
    • It identified prior complications from transarterial angiography.
    • No early or delayed side effects were observed with Ioversol.
    • Potential for misregistration artifact due to bowel gas necessitates careful interpretation.

    Conclusions:

    • IV-DSA with Ioversol is a safe and valuable mapping study preceding conventional angiography for hepatic mass interventions.
    • It enhances the safety and efficiency of planning intra-arterial procedures.
    • Careful interpretation is needed to mitigate artifact-related diagnostic challenges.