CO2RT – Virtual Round Table #7 - Automated CO2 Angiography in PAD

This is the 7th Live Round Table about the CO2RT – Automated CO2 Angiography in PAD, held on July 20, 2020.

Dr. Majed Ashour, Dr. Shagran Binkhamis and Dr. Marco Manzi held a web symposium on the use on Automated CO2 Angiography in peripheral arterial diseases.

01:02 – Introduction to CO2 Right Technique
01:47 – CO2 Angiography in Peripheral Arterial Disease: The Basics (Dr. BinKhamis)
02:56 – Question #1 (poll): How do you prevent contrast induced nephropathy at your institution?
03:41 – CO2 as Contrast: General Proprieties
06:58 – Clinical Indications of CO2
08:05 – Question #2 (poll): What is the main reason that you don’t use CO2 in your practice?
09:54 – CO2 Setup and Uses
12:16 – General Tips and Tricks for CO2 Use
16:13 – CO2 in the Aortoiliac districts
18:31 – CO2 in Lower Extremities
20:16 – Choosing the right pressure and volume injection parameters
21:50 – Where and when CO2 cannot be used
22:30 – CO2 vs ICM imaging comparison
23:13 – Conclusions
26:43 – The Use of CO2 in CLTI & Standardization of the Procedures (Dr. Manzi)
30:36 – Development of the ACDA Practice
32:02 – Cost analysis: CO2 vs ICM
33:11 – Question #3 (poll): How many patients could you treat with the Complementary Approach (CO2 + ICM)?
34:58 – Question #4 (poll): Which is your main purpose in choosing CO2 rather than ICM for a patient with no specific clinical indications?
36:15 – CO2 Imaging Examples in Daily Practice
43:41 – CO2 DSA: Limitations/Contraindication
45:07 – Conclusions
52:08 – Question #5: Can I use CO2 above the diaphragm – upper limb AVF?
55:10 – Question #6: Automated CO2 Angiography in COVID-19 patient?
56:50 – Discussion on the use of CO2 in veins
59:13 – Question #7: Do you use intra-arterial lidocaine routinely and if yes what is the dose?
01:00:20 – Final remarks