Pedal Angiography in Peripheral Arterial Occlusive Disease: First-Pass IV Contrast-Enhanced MR Angiography with Blood Pool Contrast Medium Versus Intraarterial Digital Subtraction Angiography

2009 ◽  
Vol 192 (3) ◽  
pp. 775-784 ◽  
Author(s):  
Sebastian Kos ◽  
Clemens Reisinger ◽  
Markus Aschwanden ◽  
Georg M. Bongartz ◽  
Augustinus L. Jacob ◽  
...  
Keyword(s):  
Contrast Medium ◽  
Digital Subtraction Angiography ◽  
Peripheral Arterial Occlusive Disease ◽  
Mr Angiography ◽  
Blood Pool ◽  
Arterial Occlusive Disease ◽  
Digital Subtraction ◽  
Contrast Enhanced ◽  
First Pass ◽  
Peripheral Arterial

Comparison of gadofosveset-enhanced three-dimensional magnetic resonance angiography with digital subtraction angiography for lower-extremity peripheral arterial occlusive disease

2010 ◽  
Vol 51 (3) ◽  
pp. 284-289 ◽  
Author(s):  
Fermín Urtasun Grijalba ◽  
Mercedes Ciriza Esandi
Keyword(s):  
Magnetic Resonance ◽  
Lower Extremity ◽  
Digital Subtraction Angiography ◽  
Peripheral Arterial Occlusive Disease ◽  
Mr Angiography ◽  
Interobserver Agreement ◽  
Three Dimensional ◽  
Arterial Occlusive Disease ◽  
Digital Subtraction ◽  
Peripheral Arterial

Background: Minimally invasive imaging techniques are increasingly used for clinical decision making in patients with peripheral arterial occlusive disease (PAOD). Purpose: To assess whether gadofosveset-enhanced three-dimensional (3D) magnetic resonance (MR) angiography could replace digital subtraction angiography (DSA) for the evaluation of lower-extremity PAOD. Material and Methods: Thirty patients with symptomatic PAOD underwent prospectively both MR angiography and DSA. Gadofosveset-enhanced 3D MR angiography was performed on a 1.5T system equipped with a peripheral angio matrix coil. Four blinded observers independently analyzed MR angiograms and DSA images. The lower arterial vascular system was divided into three anatomic segments (aortoiliac, femoropopliteal, infrapopliteal) for review. The status of each segment was graded as normal, stenosis less than 50%, stenosis greater than 50%, or occluded and/or aneurismatic. Principal and secondary lesions were reported. Results: Although interobserver agreement for both was excellent, it was higher for DSA (κ=0.92) than for MR angiography (κ=0.86) for reporting the principal and secondary lesions in all segments. For different anatomic locations, the interobserver agreement of MR angiography and DSA was as follows: aortoiliac (κ=0.93, k=0.95), femoropopliteal (κ=0.86, k=0.90), and infrapopliteal (κ=0.78, k=0.85). The lowest agreement was found for MR angiography on infrapopliteal segments (κ=0.78). In four (13.3%) cases, MR angiography showed lesions that were not found by DSA. Five (16.6%) aneurysm cases, not observed by DSA, were shown by MR angiography. Conclusion: Gadofosveset-enhanced 3D MR angiography can be proposed for first-line imaging in the management of lower-limb PAOD patients and permits the selective use of DSA as a second-line examination when MR angiography fails or in an endovascular approach.

scholarly journals Peripheral Arterial Occlusive Disease: 3.0-T versus 1.5-T MR Angiography Compared with Digital Subtraction Angiography

Radiology ◽  
2013 ◽  
Vol 266 (1) ◽  
pp. 337-346 ◽  
Author(s):  
Harrie C. M. van den Bosch ◽  
Jos J. M. Westenberg ◽  
Ralph Caris ◽  
Lucien E. M. Duijm ◽  
Alexander V. Tielbeek ◽  
...  
Keyword(s):  
Digital Subtraction Angiography ◽  
Peripheral Arterial Occlusive Disease ◽  
Mr Angiography ◽  
Arterial Occlusive Disease ◽  
Occlusive Disease ◽  
Digital Subtraction ◽  
3.0 T ◽  
Peripheral Arterial
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