Dataset Information

The use of intraosseous needles for injection of contrast media for computed tomographic angiography of the thoracic aorta.

ABSTRACT:

Background

The objective of this study is to evaluate the safety and quality of computed tomographic angiography of the thoracic aorta (CTA-TA) exams performed using intraosseous needle intravenous access (ION-IVA) for contrast media injection (CMI).

Methods

All CTA-TA exams at the study institution performed between 1/1/2013 and 8/14/2015 were reviewed retrospectively to identify those exams which had been performed using ION-IVA (ION-exams). ION-exams were then analyzed to determine aortic attenuation and contrast-to-noise ratio (CNR). Linear regression was used to determine how injection rate and other variables affected image quality for ION-exams. Patient electronic medical records were reviewed to identify any adverse events related to CTA-TA or ION-IVA.

Results

17 (∼0.2%) of 7401 exams were ION-exams. ION-exam CMI rates varied between 2.5 and 4 ml/s. Mean attenuation was 312 HU (SD 88 HU) and mean CNR was 25 (SD 9.9). A strong positive linear association between attenuation and injection rate was found. No immediate or delayed complications related to the ION-exams, or intraosseous needle use in general, occurred.

Conclusion

For CTA-TA, ION-IVA appears to be a safe and effective route for CMI at rates up to 4 ml/s.

SUBMITTER: Winkler M

PROVIDER: S-EPMC5784769 | biostudies-literature | 2017 May - Jun

REPOSITORIES: biostudies-literature

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Publications

The use of intraosseous needles for injection of contrast media for computed tomographic angiography of the thoracic aorta.

Winkler Michael M Talley Cynthia C Woodward Connor C Kingsbury Alexander A Appiah Frank F Elbelasi Hossam H Landwher Kevin K Li Xingzhe X Fleischmann Dominik D

Journal of cardiovascular computed tomography 20170316 3

<h4>Background</h4>The objective of this study is to evaluate the safety and quality of computed tomographic angiography of the thoracic aorta (CTA-TA) exams performed using intraosseous needle intravenous access (ION-IVA) for contrast media injection (CMI).<h4>Methods</h4>All CTA-TA exams at the study institution performed between 1/1/2013 and 8/14/2015 were reviewed retrospectively to identify those exams which had been performed using ION-IVA (ION-exams). ION-exams were then analyzed to deter ...[more]

PMID: 28341196

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Dataset Information

The use of intraosseous needles for injection of contrast media for computed tomographic angiography of the thoracic aorta.

Background

Methods

Results

Conclusion

Publications

The use of intraosseous needles for injection of contrast media for computed tomographic angiography of the thoracic aorta.

Similar Datasets

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