Magnetic resonance angiography in the preoperative evaluation of abdominal aortic aneurysms
| Autor: | Craig A. Hackworth, Petra Schmalbrock, James G. Bova, Michael E. Van Aman, John D. Horowitz, Joseph R. Durham, J. Gordon Wright, William F. Bennett, William L. Smead, J. Chadwick Tober |
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| Rok vydání: | 1993 |
| Předmět: |
Male
medicine.medical_specialty Iliac Artery Magnetic resonance angiography Aneurysm medicine.artery medicine Humans cardiovascular diseases Superior mesenteric artery Prospective Studies Aged medicine.diagnostic_test business.industry Abdominal aorta Magnetic resonance imaging General Medicine medicine.disease Magnetic Resonance Imaging eye diseases Abdominal aortic aneurysm medicine.anatomical_structure Angiography cardiovascular system Surgery Female Radiology business Artery Aortic Aneurysm Abdominal |
| Zdroj: | American journal of surgery. 166(2) |
| ISSN: | 0002-9610 |
| Popis: | Magnetic resonance angiography (MRA) and magnetic resonance imaging (MRI) are noninvasive techniques of visualizing blood vessels without the use of intravenous contrast or ionizing radiation. This prospective study assessed preoperative MRA and MRI in the evaluation of 28 patients with abdominal aortic aneurysm (AAA). MRI and MRA accurately predicted the extent of cephalad AAA, the patency of the superior mesenteric artery, and the course of the left renal vein, but were less accurate in defining the extent of caudal AAA, flow of the inferior mesenterie artery, and multiple renal arteries. This study suggests that MRI and MRA are alternatives to the combination of angiography and computed tomographic scan in the preoperative evaluation of patients with suspected AAA and no evidence of mesenteric or renal ischemia. When combined with preoperative segmental Doppler arterial studies, an accurate surgical plan may be formulated. Further refinements in image acquisition and postprocessing software analysis will advance the use of MRI and MRA for complete evaluation prior to elective AAA repair. |
| Databáze: | OpenAIRE |
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