scholarly journals Functional magnetic resonance angiography in the diagnosis of iliac artery endofibrosis in an endurance runner

2019 ◽  
Vol 12 (11) ◽  
pp. e232112
Author(s):  
Tommy Ye Cai ◽  
Saissan Rajendran ◽  
David Robinson

A 45-year-old woman was presented with a 2-year history of left lower limb claudication symptoms occurring only during long-distance running. Multimodal imaging with exercise duplex ultrasonography and magnetic resonance angiogram confirmed the presence of flow-limiting stenoses in the left external iliac artery consistent with a diagnosis of left external iliac artery endofibrosis. She successfully underwent a left external iliac endarterectomy with vein patch repair and returned to full physical activity soon after. A year following full recovery from her original operation, she presented with similar symptoms on the right side and was managed in a similar manner. This report illustrates an unusual case of bilateral iliac artery endofibrosis occurring in an older endurance runner. We also present a novel diagnostic modality of pre-exercise and postexercise magnetic resonance angiography for iliac endofibrosis.

1993 ◽  
Vol 27 (5) ◽  
pp. 400-403
Author(s):  
Claus Bartels ◽  
Helmut Nigbur ◽  
Luc Claeys ◽  
Svante Horsch

2020 ◽  
Vol 8 ◽  
pp. 2050313X2095921
Author(s):  
Naoki Yoshioka ◽  
Kensuke Takagi ◽  
Yasuhiro Morita ◽  
Makoto Kawase ◽  
Itsuro Morishima

Arterio-ureteral fistulas are relatively rare, but a potentially life-threatening condition because of the possible massive bleeding. An 82-year-old woman with a history of hysterectomy and irradiation for uterine cancer was treated with ureteric stents for recurrent bilateral ureteral stenosis. During the adjustments of the stent, removing the right ureteric stent immediately resulted in massive hematuria. Computed tomography showed that the right ureter coursed above and seemed to be connected to the right external iliac artery. From the clinical history and computed tomography findings, an arterio-ureteral fistula between the right external iliac artery and right ureter was strongly suspected. The GORE® VIABAHN® VBX Stent Graft was deployed from the common iliac artery to the external iliac artery via a 7-French femoral system, followed by post-dilatation. The patient did not develop any complications or recurrence of hematuria after the procedure during the 11-month follow-up. The VBX is a useful device, with a low- profile device and a size-adjustable balloon-expandable stent that depended on the individual vessel size for post-dilatation. However, there are several concerns, such as risk of infection, stent thrombosis/stenosis, and chronic outcome while using stent grafts for treatment. Patients with arterio-ureteral fistulas who were treated using stent grafts should be carefully followed up.


2019 ◽  
Vol 29 (5) ◽  
pp. 816-817 ◽  
Author(s):  
Aiko Sonobe ◽  
Hideyuki Kato ◽  
Bryan J Mathis ◽  
Yuji Hiramatsu

Abstract During extracorporeal life support (ECLS) in infants, cannulation of the right common carotid artery may result in a devastating ischaemic neurological injury. Herein, we present a case of an infant who encountered bilateral cerebral infarction during ECLS via the right carotid artery due to a rare and tragic anomaly of the circle of Willis. The magnetic resonance angiography complemented computed tomography in diagnosing the infarction and identifying this unique anatomy.


Author(s):  
Nobuaki CHIKU ◽  
Nanao NEGISHI ◽  
Yoshiyuki ISHII ◽  
Seiryu NIINO ◽  
Hideo KOHNO ◽  
...  

2016 ◽  
Vol 5 (12) ◽  
pp. 205846011668120
Author(s):  
Yasutaka Fushimi ◽  
Tomohisa Okada ◽  
Sachi Okuchi ◽  
Akira Yamamoto ◽  
Mitsunori Kanagaki ◽  
...  

Background The relationship between the signal from retrograde venous flow on magnetic resonance angiography (MRA) and retrograde upward flow from the left brachiocephalic vein has not been explored. Purpose To reveal the frequency of jugular venous reflux using MRA and nuclear venography in patients being evaluated for cerebral volume and blood flow. Material and Methods A total of 229 patients with cognitive disturbance who had undergone brain magnetic resonance imaging (MRI) and single-photon emission computed tomography (SPECT) on the same day to evaluate cerebral blood flow were evaluated. Jugular venous reflux was measured on MRA and nuclear venography, which was conducted just after injection of N-isopropyl-123I-p-iodoamphetamine for the SPECT study. Results MRA showed jugular reflux in seven patients on the right side, and in 22 on the left. Nuclear venography showed jugular reflux in six patients on the right side, and in 20 on the left. Conclusion Jugular venous reflux was observed mostly on the left side. Retrograde flow was observed on both MRA and nuclear venography in half of the cases, with the rest only on one of the modalities.


Surgery Today ◽  
1999 ◽  
Vol 29 (1) ◽  
pp. 83-85 ◽  
Author(s):  
Shoji Watarida ◽  
Shoichiro Shiraishi ◽  
Kazuhiko Katsuyama ◽  
Yasuhiko Nakajima ◽  
Rie Yamamoto ◽  
...  

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