Link, Johann and Steffens, Johann C. and Brossman, Joachim and Graessner, Joachim and Hackethal, Stephanie and Heller, Martin (1999) Iliofemoral arterial occlusive disease: Contrast-enhanced MR angiography for preinterventional evaluation and follow-up after stent placement. RADIOLOGY, 212 (2). pp. 371-377. ISSN 0033-8419,
Full text not available from this repository. (Request a copy)Abstract
PURPOSE: To evaluate the efficacy of contrast material-enhanced magnetic resonance (MR) angiography for the diagnosis of peripheral arterial occlusion and follow-up after stent placement. MATERIALS AND METHODS: Sixty-seven patients (21 women, 46 men; mean age, 64.6 years) were examined. Digital subtraction angiography and contrast-enhanced MR angiography were performed in 28 patients for preinterventional evaluation of iliofemoral arterial occlusion and in 39 patients for follow-up after stent placement in the iliac or femoral arteries, which had been performed several months before. RESULTS: All 24 occlusions were correctly diagnosed with contrast-enhanced MR angiography. Of the 59 stenoses, 36 were greater than 50% and 23 were 50% or less. Sensitivity and specificity for the detection of stenoses greater than 50% were 100% and 83%, respectively. Patency of the different stents was determined correctly with contrast-enhanced MR, angiography. Some stents caused signal intensity dropout, which made MR evaluation of stents difficult. Generally, these signal intensity artifacts were most severe in stainless steel stents and mild in some nitinol stents. CONCLUSION: Contrast enhanced MR angiography is comparable to digital subtraction angiography for the detection of stenosis greater than 50% and occlusion in the iliofemoral arteries. Stent patency can be determined, but contrast-enhanced MR angiography is not suitable for stent evaluation owing to signal intensity dropout; however, it provides information about the vascular anatomic areas proximal and distal to the stent.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | BREATH-HOLD; ABDOMINAL-AORTA; LOWER-EXTREMITY; AORTOGRAPHY; arteries, grafts and prostheses; arteries, stenosis or obstruction; magnetic resonance (MR), comparative studies; magnetic resonance (MR), vascular studies; stents and prostheses |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Röntgendiagnostik |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 11 Jan 2023 15:40 |
| Last Modified: | 11 Jan 2023 15:40 |
| URI: | https://pred.uni-regensburg.de/id/eprint/49109 |
Actions (login required)
 |
View Item |
