Angiodroid - The CO2 Injector

Automated Carbon Dioxide Angiography

 WHEN to use ACDA?

Albuminuria (mg/g)

< 30 30-299 > 300

> 90
No Contrast Induced
eGFR (ml/min/m2)

60 – 90 Nephropathy Risk
45 – 59
30 – 44
15 – 29
< 15 No hepatoxicity

ACDA to avoid CIN risk

ACDA suggested
ACDA recommended
ACDA strongly recommended No Allergic reactions
ACDA UNIQUE Option

2 Mehran R, et al. J Am Coll Cardiol. 2004 - KDIGO Clinical Practice Guidelines, 2012.
Carbon Dioxide is the Only Safe
Contrast Agent for patients with:
Renal Failure
Iodinated contrast agents can cause
further deterioration of residual renal
Creatinine > 1.5 mg/dl function.

CO2 angiography is an effective

eGFR< 60 ml/min/1.73 m2 alternative, without the risk of further
Clinical practice impairment of renal function. CO2
angiography has a sensitivity of 97%
Allergy Guidelines and a specificity of 85%.

Due to the acceptable results of CO2

Diabetes angiography and the potential risk of
NSF, gadolinium enhanced DSA is no
longer indicated.
Hypertension
ESVS Vascular Access: 2018 Clinical Practice Guidelines.
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 Carbon Dioxide Angiography: WHERE?

ARTERIES
CO2 can be used in all districts below the diaphragm

HEPATIC ARTERY EVAR

diaphragm
EMBOLIZATION TACE AORTOGRAPHY ILIAC

SMA SFA - POP

RENAL ARTERIES BTK

GI BLEEDING AND TRAUMA FOOT

4 Cho KJ. Carbon Dioxide Angiography: Scientific Principles and Practice. Vasc Specialist Int. 2015.
 Aortography Aortic Bifurcation Renal Arteries BTK

TACE Hepatic Artery SFA Foot

Images courtesy of Dr. A. Schwindt, Dr. M. Manzi, Prof. M. Gargiulo, Dr. LM. Palena, Dr. M. Amor, Dr. D. Vorverk, Dr. N. Dias. 5
 Carbon Dioxide Angiography: WHERE?

VEINS
Also the peripheral venous system is investigable with CO2

SUBCLAVIAN VEIN BASILIC VEIN

CEPHALIC VEIN ILIAC VEIN

RADIAL VEIN GREAT SAPHENOUS VEIN

AV SHUNT PHLEBOGRAPHY SMALL SAPHENOUS VEIN

TIPS POPLITEAL VEIN

6 Cho KJ. Carbon Dioxide Angiography: Scientific Principles and Practice. Vasc Specialist Int. 2015.
 Subclavian Vein Basilic Vein AV shunt Radial Vein

Cephalic Vein Iliac Vein Arm Stent TIPS

Images courtesy of. Dr. R. Cancellieri, Prof. G. Maleux, Dr. J. Palmero, Dr. R. Ferraresi, Prof. M. Tozzi. 7
 WHAT is ANGIODROID? Uniqueness

HIGH ACCURACY MAXIMUM SPEED

For CO2 dose and Injector ready
injection pressure in 6 seconds

HIGH PERFORMANCE IMPROVED SAFETY

CO 2 More than 400 procedures with Inject with remote controller,
an integrated 2L CO2 cylinder up to 15 meters away

COMPLETELY SAFE ALWAYS READY

Internal positive pressure Standardize your work
prevents air contamination with unique protocols

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Angiodroid Injector allows the CO2 dosage at specific volumes and pressures, and the injection of CO2 into vascular cavities.
How it works

1st Automated Injection System for CO2 Angiography

SET INJECT

SAVE REVIEW 9
 WHY ANGIODROID?

Zero Contrast Procedure

SAVE COST EXCELLENT IMAGING IMPROVED SAFETY

Avoid iodine and related complications ACDA ensures optimum CO2 image Inject remotely to reduce
(e.g. CIN risk and adverse reactions). quality and complete injection X-ray dose even from the
management. control room.

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 Makes the Difference

ACDA as Perform the

Standard complementary
approach with
dedicated device
Imaging
Option

Images courtesy of Dr. P. Sbarzaglia. SEE MORE SAVE ICM SAVE KIDNEYS

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ANGIODROID is a registered trademark of Angiodroid Srl. This document refers only to the placing on the market in the countries of the
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all patient data that appear in this document are fictitious. No actual patient information is shown. Rev.1 02-2020