Combined Assessment of Arterial and Venous Anatomy in Lower Limb Ischaemia Using a Single Contrast-Enhanced Magnetic Resonance Scan

K. Hussey , D. Orr , G. Roditi
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引用次数: 1

Abstract

Contrast-Enhanced Magnetic Resonance Angiography (CE-MRA) is a non-invasive investigative modality for patients with lower limb arterial insufficiency. When infra-inguinal arterial reconstruction is indicated autologous great saphenous vein is the conduit of choice and adequacy of the vein is often assessed by an additional Duplex ultrasound.

We evaluated whether single, high-resolution steady state MR imaging with blood pool contrast agent could generate a sufficiently informative assessment of both venous and arterial anatomy to plan surgery potentially avoiding the need for an additional venous duplex.

There was good correlation between CE-MRA, venous duplex and subsequent operative findings.

单次磁共振增强扫描对下肢缺血动脉和静脉解剖的综合评估
对比增强磁共振血管造影(CE-MRA)是下肢动脉功能不全患者的一种非侵入性检查方式。当需要腹股沟下动脉重建时,自体大隐静脉是首选的导管,静脉的充分性通常通过额外的双工超声来评估。我们评估了单次高分辨率稳态磁共振成像与血池造影剂是否可以产生足够信息的静脉和动脉解剖评估,以计划手术,潜在地避免需要额外的静脉双工。CE-MRA、静脉双工与随后的手术表现有良好的相关性。
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