The Safety of Intravascular Carbon Dioxide and Its Use for Roentgenologic Visualization of Intracardiac Structures

Article1 August 1957THE SAFETY OF INTRAVASCULAR CARBON DIOXIDE AND ITS USE FOR ROENTGENOLOGIC VISUALIZATION OF INTRACARDIAC STRUCTURESTHOMAS M. DURANT, M.D., F.A.C.P., H. M. STAUFFER, M.D., M. J. OPPENHEIMER, M.D., ROBERT E. PAUL JR., M.D.THOMAS M. DURANT, M.D., F.A.C.P., H. M. STAUFFER, M.D., M. J. OPPENHEIMER, M.D., ROBERT E. PAUL JR., M.D.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-47-2-191 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptThe injection of air into body cavities or tissues is a method that has been used for diagnostic purposes (e.g., perirenal insufflation, Rubin's test, etc.) and also for therapy (e.g., pneumoperitoneum, pneumothorax, etc.). Though these technics have been considered to have real value, each has been fraught with the risk of serious or even fatal accidents from air embolism.1, 2, 3Some accidents have been reported in the literature, but we have learned about a host of others only through personal communication. The frequency with which air embolism has been observed has varied with different procedures, but has been highest,...Bibliography1. DurantLongOppenheimer TMJMJ: Pulmonary (venous) air embolism, Am. Heart J. 33: 269, 1947. CrossrefMedlineGoogle Scholar2. DurantOppenheimerWesterLong TMMJMRJ: Arterial air embolism, Am. Heart J. 38: 481, 1949. CrossrefMedlineGoogle Scholar3. OppenheimerDurantLynch MJTMP: Body position in relation to venous air embolism and the associated cardiovascular-respiratory changes, Am. J. M. Sc. 225: 362, 1953. CrossrefMedlineGoogle Scholar4. RansomLandesMcLelland CLRRR: Air embolism following retroperitoneal pneumography: a nation-wide survey, J. Urol. 76: 664, 1956. CrossrefMedlineGoogle Scholar5. Teschendorf W: On the use of quickly absorbent gases in x-ray diagnosis, Acta radiol. 36: 297, 1951. CrossrefMedlineGoogle Scholar6. OppenheimerDurantStaufferStewartLynchBarrera MJTMHMGHPRF: In vivo visualization of intravascular structures with gaseous carbon dioxide: cardiovascular effects and associated changes in blood chemistry, Am. J. Physiol. 186: 325, 1956. CrossrefMedlineGoogle Scholar7. DurantOppenheimerLynchAscanioWebber TMMJPRGD: Body position in relation to venous air embolism: a roentgenologic study, Am. J. M. Sc. 227: 509, 1954. CrossrefMedlineGoogle Scholar8. StaufferDurantOppenheimer HMTMMJ: Gas embolism: roentgenologic considerations, including the experimental use of carbon dioxide as an intracardiac contrast material, Radiology 66: 686, 1956. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Philadelphia, Pennsylvania*Presented at the Thirty-eighth Annual Session of The American College of Physicians, Boston, Massachusetts, April 9, 1957, together with a moving picture demonstration of the experimental material.From the Departments of Medicine, Radiology and Physiology, Temple University School of Medicine, Philadelphia, Pennsylvania.Aided by United States Public Health Service Grant No. H1883(C2).Requests for reprints should be addressed to Thomas M. Durant, M.D., Department of Medicine, Temple University School of Medicine and Hospital, Broad and Ontario Streets, Philadelphia 40, Pennsylvania. 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MISSAL, M.D., F.A.C.P., JAMES A. ROBINSON, M.D., RONALD W. TATUM, M.D.CARBODISSECTION OF PERIVASCULAR TISSUEPericarditisSINGLE AND DOUBLE CONTRAST CORONARY ARTERIOGRAPHYThe Contribution of Modern Hemodynamic Techniques to the Diagnosis of Acquired Heart DiseaseDiagnostic Carbon Dioxide Pneumomediastinography as an Extension of Scalene-Lymph-Node BiopsyAnte-Mortem Demonstration of Hepatic-Vein DistentionAdrenocortical adenoma with Cushing's syndrome and virilism in a 5-year-old childPheochromocytomaThe evolution and current concepts of the surgical treatment of constrictive pericarditisThe flat right atrial borderPericardial Effusion in Congestive Heart FailureNontraumatic hemopericardiumErkrankungen des PerikardChronic Idiopathic Pericardial Effusion without TamponadeSome uses for presacral oxygen insufflationCEREBRAL EMBOLISMINTRAVASCULAR CARBON DIOXIDE FOR ANGIOGRAPHY 1 August 1957Volume 47, Issue 2Page: 191-201KeywordsBlood plasmaCarbon dioxideDiagnostic radiologyMedical servicesRisk managementSafety ePublished: 1 December 2008 Issue Published: 1 August 1957 Copyright & PermissionsCopyright ©, 1957, by The American College of PhysiciansPDF downloadLoading ...