scholarly journals Posttraumatic edema of the lower extremities: Evaluation of the lymphatic vessels with magnetic resonance lymphangiography

2009 ◽  
Vol 49 (2) ◽  
pp. 417-423 ◽  
Author(s):  
Christian Lohrmann ◽  
Gregor Pache ◽  
Gunter Felmerer ◽  
Etelka Foeldi ◽  
Oliver Schaefer ◽  
...  
2021 ◽  
Vol 38 (02) ◽  
pp. 202-208
Author(s):  
Pamela Lombardi ◽  
James C. Carr ◽  
Bradley D. Allen ◽  
Robert R. Edelman

AbstractFor years, magnetic resonance angiography (MRA) has been a leading imaging modality in the assessment of venous disease involving the pelvis and lower extremities. Current advancement in noncontrast MRA techniques enables imaging of a larger subset of patients previously excluded due to allergy or renal insufficiency, allowing for preintervention assessment and planning. In this article, the current status of MR venography, with a focus on current advancements, will be presented. Protocols and parameters for MR venographic imaging of the pelvis and lower extremities, including contrast and noncontrast enhanced techniques, will be reviewed based on a recent literature review of applied MR venographic techniques. Finally, several disease-specific entities, including pelvic congestion and compression syndromes, will be discussed with a focus on imaging parameters that may best characterize these disease processes and optimize anatomical planning prior to intervention.


2017 ◽  
Vol 16 (4) ◽  
pp. 320-324 ◽  
Author(s):  
Carlos Alberto Araujo Chagas ◽  
Lucas Alves Sarmento Pires ◽  
Marcio Antonio Babinski ◽  
Tulio Fabiano de Oliveira Leite

Abstract Parkes-Weber syndrome is a congenital vascular disease that comprises capillary, venous, lymphatic, and arteriovenous malformations. Although Parkes-Weber syndrome is a clinically distinct entity with serious complications, it is still frequently misdiagnosed as Klippel-Trenaunay syndrome, which consists of a triad of malformations involving the capillary, venous, and lymphatic vessels, without arteriovenous fistulas. Both syndromes are generally diagnosed with Doppler ultrasound and confirmed by magnetic resonance angiography. The aim of this study is to describe one case of Klippel-Trenaunay syndrome, in a 36-year-old patient, and one case of Parkes-Weber syndrome, in a 21-year-old patient. We review the literature in order to discuss the possible causes and consequences of these diseases related to venous hypertension and angiodysplasia, taking a clearer approach to their differences, and discussing their treatment.


2007 ◽  
Vol 31 (2) ◽  
pp. 303-308 ◽  
Author(s):  
Christian Lohrmann ◽  
Etelka Foeldi ◽  
Jean-Paul Bartholom?? ◽  
Mathias Langer

1998 ◽  
Vol 8 (6) ◽  
pp. 1047-1053 ◽  
Author(s):  
M. Saeed ◽  
M. F. Wendland ◽  
M. Engelbrecht ◽  
H. Sakuma ◽  
C. B. Higgins

Diagnostics ◽  
2020 ◽  
Vol 10 (6) ◽  
pp. 355 ◽  
Author(s):  
Chien-Wei Chen ◽  
Yuan-Hsi Tseng ◽  
Chien-Chiao Lin ◽  
Chih-Chen Kao ◽  
Min Yi Wong ◽  
...  

Objectives: Venous diseases in the lower extremities long lacked an objective diagnostic tool prior to the advent of the triggered angiography non-contrast-enhanced (TRANCE) technique. Methods: An observational study with retrospective data analysis. Materials: Between April 2017 and June 2019, 66 patients were evaluated for venous diseases through TRANCE-magnetic resonance imaging (MRI) and were grouped according to whether they had occlusive venous (OV) disease, a static venous ulcer (SU), or symptomatic varicose veins (VV). The clinical appliance of TRANCE-MRI was analysed by groups. Results: In total, 63 patients completed the study. TRANCE-MRI could identify venous thrombosis, including that of the abdominal and pelvic vessels, and it enabled the timely treatment of underlying diseases in patients with OV disease. TRANCE-MRI was statistically compared with the duplex scan, the gold standard to exclude deep vein thrombosis (DVT) in the legs, with regard to their abilities to detect venous thrombosis by using Cohen’s kappa coefficient at a compatible value of 0.711. It could provide the occlusion degree of the peripheral artery for treating an SU. Finally, TRANCE-MRI can be used to outline all collateral veins and occult thrombi before treating symptomatic or recurrent VV to ensure a perfect surgical plan and to avoid complications. Conclusions: TRANCE-MRI is an innovative tool in the treatment of versatile venous pathology in the lower extremities and is widely used for vascular diseases in our institution.


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