Heart and Vessels

, Volume 32, Issue 3, pp 359–363 | Cite as

Successful carbon dioxide angiography guided endovascular thrombectomy of the superficial femoral artery in a young patient with critical limb ischemia

  • Sorin Giusca
  • Tom Eisele
  • Dorothea Raupp
  • Christoph Eisenbach
  • Grigorios Korosoglou
Case Report


Currently, the treatment of thromboembolic ischemia of the lower extremities includes percutaneous rotational thrombectomy and aspiration devices. However, the standard approach for endovascular treatment requires the administration of iodine contrast agents, which is problematic in patients with pre-existing renal disease and diabetes. Herein, we describe a case of a CO2 angiography guided endovascular thrombectomy of the superficial femoral artery (SFA) in a young patient with critical limb ischemia. Mechanical thrombectomy using the Rotarex system, catheter aided aspiration and subsequent stent placement in the SFA was entirely guided using CO2 angiography.


Carbon dioxide angiography Renal failure Rotarex catheter Thrombectomy thrombus aspiration Self-expanding nitinol stent 


Compliance with ethical standards

Conflict of interest

The authors have no conflict of interest to declare.

Ethical standards

This study complies with the Declaration of Helsinki. Informed consent from patient was obtained before performing the procedure as well as regarding the publishing of his clinical data in an anonymized form.


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Copyright information

© Springer Japan 2016

Authors and Affiliations

  1. 1.Department of Cardiology and Vascular MedicineGRN Hospital WeinheimWeinheimGermany
  2. 2.Department of Gastroenterology and DiabetologyGRN Hospital WeinheimWeinheimGermany

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