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Abstract Carbon dioxide contrast medium is a non-nephrotoxic alternative to traditional iodinated contrast media that could be safely used and well tolerated during endovascular in patients with renal impairment. The use of automated injector system would provide adequate delivery, optimizes the dose and avoids air contamination. For infra-genicular segment opacification, we recommend selective injection as close to the target artery as possible and some changes in angiographic techniques from contrast preparation to image post-processing. The primary safety endpoint was achieved in 100% of patients, the qualitative diagnostic accuracy with excellent score exceeded 75%. The overall quantitative diagnostic accuracy is 91.7% |