Use of magnetic resonance angiography for the preoperative evaluation of patients with infrainguinal arterial occlusive disease  John R. Hoch, MD, Michael.

Slides:



Advertisements
Similar presentations
Popliteal artery stenosis caused by a Baker's cyst
Advertisements

Persistent sciatic artery: Embryology, pathology, and treatment
Axillary-to-carotid artery bypass grafting for symptomatic severe common carotid artery occlusive disease  Joseph P. Archie, PhD, MD  Journal of Vascular.
Tibiotibial vein bypass grafts: A new operation for limb salvage
Bypass to the perigeniculate collateral vesselsA useful technique for limb salvage: Preliminary report on 22 patients  Xavier Barral, MD, Gholam R. Salari,
Unmasking pedal arteries in patients with critical ischemia using time-resolved contrast- enhanced 3D MRA  Stephan Langer, MD, Nils Krämer, MD, Gottfried.
Low-dose direct fibrinolysis in peripheral vascular disease
Dustin D. Lucarelli, MD, Aswath Subram, MD 
Can duplex scan arterial mapping replace contrast arteriography as the test of choice before infrainguinal revascularization?  Reese A. Wain, MD, George.
Diffuse arterial narrowing as a result of intimal proliferation: A delayed complication of embolectomy with the Fogarty balloon catheter  Charles R. Bowles,
Magnetic resonance angiography in the management of lower extremity arterial occlusive disease: A prospective study  Richard P. Cambria, MD, John A. Kaufman,
Regional variation in patient selection and treatment for lower extremity vascular disease in the Vascular Quality Initiative  Peter A. Soden, MD, Sara.
Exposure of the anterior tibial artery by medial popliteal extension
Surgical result of critical limb ischemia due to tibial arterial occlusion in patients with systemic scleroderma  Juno Deguchi, MD, PhD, Kunihiro Shigematsu,
Marlin Wayne Causey, MD, Morohunranti O
Axillofemoral bypass: A tool with a limited role
Ambulatory venous pressure revisited
Predictive value of angiographic scores for the integrated management of the ischemic diabetic foot  Irene Bargellini, MD, Alberto Piaggesi, MD, Antonio.
The potential for lower extermity revascularization without contrast arteriography: Experience with magnetic resonance angiography  Richard P. Cambria,
Michael J. Petersen, MD, Richard P. Cambria, MD, John A
Unmasking pedal arteries in patients with critical ischemia using time-resolved contrast- enhanced 3D MRA  Stephan Langer, MD, Nils Krämer, MD, Gottfried.
Percutaneous transluminal angioplasty for the treatment of limb threatening ischemia: Do the results justify an attempt before bypass grafting?  Richard.
Static contrast technique for creating transpedal arterial access in patients with tibioperoneal occlusions  John Chien-Hwa Chang, MD, Lau-Shen Lin, MD,
Axillopopliteal bypass for limb salvage
Robert B. Rutherford, MD, J. Dennis Baker, MD, Calvin Ernst, MD, K
Walter J. McCarthy, MD, William H. Pearce, MD, William R
Endovascular aortoiliac grafts in combination with standard infrainguinal arterial bypasses in the management of limb-threatening ischemia: Preliminary.
Vascular disease, matrix abnormalities, and neuropathy: Implications for limb salvage in diabetes mellitus  Frank W. LoGerfo, M.D.  Journal of Vascular.
Joseph L. Mills, MD, Spence M. Taylor, MD, Roy M. Fujitani, MD 
Dorsalis pedis arterial bypass: Durable limb salvage for foot ischemia in patients with diabetes mellitus  Frank B. Pomposelli, MD, Edward J. Marcaccio,
Interruption of critical aortoiliac collateral circulation during nonvascular operations: A cause of acute limb-threatening ischemia  Alan M. Dietzek,
Revascularization of cerebral ischemia after previous bilateral extracranial-intracranial bypass procedures  V.S. Sottiurai, MD, PhD, L. Herbert, MD,
Steven S. Gale, MD, Robert P. Scissons, RVT, Sergio X
Local thrombolysis in the treatment of thrombosed arteries, bypass grafts, and arteriovenous fistulas  Robert A. Graor, M.D., Barbara Risius, M.D., Kevin.
Objective tinnitus resulting from internal carotid artery stenosis
Richard E. Parsons, MD, Michael L. Marin, MD, Frank J
Early quantitative evaluation of indocyanine green angiography in patients with critical limb ischemia  Jonathan D. Braun, MD, Magdiel Trinidad-Hernandez,
Magnetic resonance angiography in the management of lower extremity arterial occlusive disease: A prospective study  Richard P. Cambria, MD, John A. Kaufman,
Balloon angioplasty for revision of failing lower extremity bypass grafts  Haitham Ali, MD, Ahmed Elbadawy, MD, Mahmoud Saleh, MD, Ayman Hasaballah, MD 
Successful use of continuous vasodilator infusion to treat critical vasospasm threatening a distal bypass  Gregory A. Magee, MD, MSc, Anastasia Plotkin,
Harshal Broker, MD, G. Patrick Clagett, MD  Journal of Vascular Surgery 
Ruptured mycotic infrapopliteal aneurysm
Angioscope-assisted occlusion of venous tributaries with prolamine in in situ femoropopliteal bypass: Preliminary results of canine experiments  John.
William J. Quinones-Baldrich, M. D. , R. Eugene Zierler, M. D
Eleven-year experience with tibiotibial bypass: An unusual but effective solution to distal tibial artery occlusive disease and limited autologous vein 
Alternative techniques for management of distal anastomoses of aortofemoral and iliofemoral endovascular grafts  Reese A. Wain, MD, Ross T. Lyon, MD,
Martin E. Harrington, MD, Myron E. Schwartz, MD, Timothy A
George Andros, M. D. , Robert W. Harris, M. D. , Sergio X
Low-dose direct fibrinolysis in peripheral vascular disease
Differential management of acute peripheral arterial ischemia
Bradford M. Blakeman, M. D. , Fred N. Littooy, M. D. , William H
Composite sequential bypasses to the ankle and beyond for limb salvage
Clinical presentation and vascular imaging in giant cell arteritis of the femoropopliteal and tibioperoneal arteries. Analysis of four cases  Federico.
Blunt popliteal artery trauma: One hundred consecutive injuries
Ambulatory venous pressure revisited
Steven P. Rivers, MD, Larry Scher, MD, Frank J. Veith, MD 
Regarding “Vascular abnormalities in patients with neurofibromatosis syndrome type I: Clinical spectrum, management, and results”  John B. Chang, MD,
Surgical treatment of threatened reversed infrainguinal vein grafts
James E. Edwards, MD, Lloyd M. Taylor, MD, John M. Porter, MD 
Peripheral artery and bypass graft thrombolysis with recombinant human tissue-type plasminogen activator  Robert A. Graor, M.D., Barbara Risius, M.D.,
Magnetic resonance angiography of peripheral runoff vessels
Seizures following subclavian-carotid bypass
Carotid biaxillary bypass: A new operation
Popliteal artery entrapment: Diagnosis by computed tomography
Homologous veins as an arterial substitute: Long-term results
Recognition and treatment of arterial insufficiency from Cafergot
Surgical correction of abdominal aortic coarctation and hypertension
Axillary-to-carotid artery bypass grafting for symptomatic severe common carotid artery occlusive disease  Joseph P. Archie, PhD, MD  Journal of Vascular.
Thigh claudication due to profunda femoris artery occlusion
The posterior approach to popliteal-crural bypass
Presentation transcript:

Use of magnetic resonance angiography for the preoperative evaluation of patients with infrainguinal arterial occlusive disease  John R. Hoch, MD, Michael J. Tullis, MD, Todd W. Kennell, MD, John McDermott, MD, Charles W. Acher, MD, William D. Turnipseed, MD  Journal of Vascular Surgery  Volume 23, Issue 5, Pages 792-801 (May 1996) DOI: 10.1016/S0741-5214(96)70241-0 Copyright © 1996 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 1 DSA of lower leg failed to identify artery suitable for bypass (A) in this diabetic patient with threatened limb. MRA demonstrated patent distal anterior tibial and dorsalis pedis arteries (B). Intraoperative angiography confirmed preoperative MRA findings (C). Journal of Vascular Surgery 1996 23, 792-801DOI: (10.1016/S0741-5214(96)70241-0) Copyright © 1996 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 1 DSA of lower leg failed to identify artery suitable for bypass (A) in this diabetic patient with threatened limb. MRA demonstrated patent distal anterior tibial and dorsalis pedis arteries (B). Intraoperative angiography confirmed preoperative MRA findings (C). Journal of Vascular Surgery 1996 23, 792-801DOI: (10.1016/S0741-5214(96)70241-0) Copyright © 1996 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 1 DSA of lower leg failed to identify artery suitable for bypass (A) in this diabetic patient with threatened limb. MRA demonstrated patent distal anterior tibial and dorsalis pedis arteries (B). Intraoperative angiography confirmed preoperative MRA findings (C). Journal of Vascular Surgery 1996 23, 792-801DOI: (10.1016/S0741-5214(96)70241-0) Copyright © 1996 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 2 Corresponding MRA (A, B, and E) and DSA (C and D) images of patient with diabetes and gangrenous toe who underwent left popliteal-posterior tibial bypass and superficial femoral patch angioplasty. MRA (A, arrow) identified focal superficial femoral artery origin stenosis seen on DSA (C, arrow). Patent posterior tibial artery seen on MRA (B, small arrows) was misidentified as peroneal on DSA (D, small arrow). Diffusely diseased tibioperoneal trunk was identified by both studies (B and D, large arrows). MRA axial images (E) confirmed tibial artery as posterior tibial (arrow), medial to tibia (T) and fibula (f). Journal of Vascular Surgery 1996 23, 792-801DOI: (10.1016/S0741-5214(96)70241-0) Copyright © 1996 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 2 Corresponding MRA (A, B, and E) and DSA (C and D) images of patient with diabetes and gangrenous toe who underwent left popliteal-posterior tibial bypass and superficial femoral patch angioplasty. MRA (A, arrow) identified focal superficial femoral artery origin stenosis seen on DSA (C, arrow). Patent posterior tibial artery seen on MRA (B, small arrows) was misidentified as peroneal on DSA (D, small arrow). Diffusely diseased tibioperoneal trunk was identified by both studies (B and D, large arrows). MRA axial images (E) confirmed tibial artery as posterior tibial (arrow), medial to tibia (T) and fibula (f). Journal of Vascular Surgery 1996 23, 792-801DOI: (10.1016/S0741-5214(96)70241-0) Copyright © 1996 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 2 Corresponding MRA (A, B, and E) and DSA (C and D) images of patient with diabetes and gangrenous toe who underwent left popliteal-posterior tibial bypass and superficial femoral patch angioplasty. MRA (A, arrow) identified focal superficial femoral artery origin stenosis seen on DSA (C, arrow). Patent posterior tibial artery seen on MRA (B, small arrows) was misidentified as peroneal on DSA (D, small arrow). Diffusely diseased tibioperoneal trunk was identified by both studies (B and D, large arrows). MRA axial images (E) confirmed tibial artery as posterior tibial (arrow), medial to tibia (T) and fibula (f). Journal of Vascular Surgery 1996 23, 792-801DOI: (10.1016/S0741-5214(96)70241-0) Copyright © 1996 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 2 Corresponding MRA (A, B, and E) and DSA (C and D) images of patient with diabetes and gangrenous toe who underwent left popliteal-posterior tibial bypass and superficial femoral patch angioplasty. MRA (A, arrow) identified focal superficial femoral artery origin stenosis seen on DSA (C, arrow). Patent posterior tibial artery seen on MRA (B, small arrows) was misidentified as peroneal on DSA (D, small arrow). Diffusely diseased tibioperoneal trunk was identified by both studies (B and D, large arrows). MRA axial images (E) confirmed tibial artery as posterior tibial (arrow), medial to tibia (T) and fibula (f). Journal of Vascular Surgery 1996 23, 792-801DOI: (10.1016/S0741-5214(96)70241-0) Copyright © 1996 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 2 Corresponding MRA (A, B, and E) and DSA (C and D) images of patient with diabetes and gangrenous toe who underwent left popliteal-posterior tibial bypass and superficial femoral patch angioplasty. MRA (A, arrow) identified focal superficial femoral artery origin stenosis seen on DSA (C, arrow). Patent posterior tibial artery seen on MRA (B, small arrows) was misidentified as peroneal on DSA (D, small arrow). Diffusely diseased tibioperoneal trunk was identified by both studies (B and D, large arrows). MRA axial images (E) confirmed tibial artery as posterior tibial (arrow), medial to tibia (T) and fibula (f). Journal of Vascular Surgery 1996 23, 792-801DOI: (10.1016/S0741-5214(96)70241-0) Copyright © 1996 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 3 Corresponding MRA (A, B, C, D) and DSA (E, F, G, H) images of patient with failing femoropoliteal graft. MRA failed to predict appropriate management plan, because critical stenosis near proximal anastomosis seen on DSA (E, straight arrow) was interpreted on MRA as signal dropout caused by surgical clips (A, straight arrow). Distal graft stenosis was correctly identified by both MRA (C, curved arrow) and DSA (G, curved arrow). Journal of Vascular Surgery 1996 23, 792-801DOI: (10.1016/S0741-5214(96)70241-0) Copyright © 1996 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 3 Corresponding MRA (A, B, C, D) and DSA (E, F, G, H) images of patient with failing femoropoliteal graft. MRA failed to predict appropriate management plan, because critical stenosis near proximal anastomosis seen on DSA (E, straight arrow) was interpreted on MRA as signal dropout caused by surgical clips (A, straight arrow). Distal graft stenosis was correctly identified by both MRA (C, curved arrow) and DSA (G, curved arrow). Journal of Vascular Surgery 1996 23, 792-801DOI: (10.1016/S0741-5214(96)70241-0) Copyright © 1996 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 3 Corresponding MRA (A, B, C, D) and DSA (E, F, G, H) images of patient with failing femoropoliteal graft. MRA failed to predict appropriate management plan, because critical stenosis near proximal anastomosis seen on DSA (E, straight arrow) was interpreted on MRA as signal dropout caused by surgical clips (A, straight arrow). Distal graft stenosis was correctly identified by both MRA (C, curved arrow) and DSA (G, curved arrow). Journal of Vascular Surgery 1996 23, 792-801DOI: (10.1016/S0741-5214(96)70241-0) Copyright © 1996 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 3 Corresponding MRA (A, B, C, D) and DSA (E, F, G, H) images of patient with failing femoropoliteal graft. MRA failed to predict appropriate management plan, because critical stenosis near proximal anastomosis seen on DSA (E, straight arrow) was interpreted on MRA as signal dropout caused by surgical clips (A, straight arrow). Distal graft stenosis was correctly identified by both MRA (C, curved arrow) and DSA (G, curved arrow). Journal of Vascular Surgery 1996 23, 792-801DOI: (10.1016/S0741-5214(96)70241-0) Copyright © 1996 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 3 Corresponding MRA (A, B, C, D) and DSA (E, F, G, H) images of patient with failing femoropoliteal graft. MRA failed to predict appropriate management plan, because critical stenosis near proximal anastomosis seen on DSA (E, straight arrow) was interpreted on MRA as signal dropout caused by surgical clips (A, straight arrow). Distal graft stenosis was correctly identified by both MRA (C, curved arrow) and DSA (G, curved arrow). Journal of Vascular Surgery 1996 23, 792-801DOI: (10.1016/S0741-5214(96)70241-0) Copyright © 1996 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 3 Corresponding MRA (A, B, C, D) and DSA (E, F, G, H) images of patient with failing femoropoliteal graft. MRA failed to predict appropriate management plan, because critical stenosis near proximal anastomosis seen on DSA (E, straight arrow) was interpreted on MRA as signal dropout caused by surgical clips (A, straight arrow). Distal graft stenosis was correctly identified by both MRA (C, curved arrow) and DSA (G, curved arrow). Journal of Vascular Surgery 1996 23, 792-801DOI: (10.1016/S0741-5214(96)70241-0) Copyright © 1996 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 3 Corresponding MRA (A, B, C, D) and DSA (E, F, G, H) images of patient with failing femoropoliteal graft. MRA failed to predict appropriate management plan, because critical stenosis near proximal anastomosis seen on DSA (E, straight arrow) was interpreted on MRA as signal dropout caused by surgical clips (A, straight arrow). Distal graft stenosis was correctly identified by both MRA (C, curved arrow) and DSA (G, curved arrow). Journal of Vascular Surgery 1996 23, 792-801DOI: (10.1016/S0741-5214(96)70241-0) Copyright © 1996 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 3 Corresponding MRA (A, B, C, D) and DSA (E, F, G, H) images of patient with failing femoropoliteal graft. MRA failed to predict appropriate management plan, because critical stenosis near proximal anastomosis seen on DSA (E, straight arrow) was interpreted on MRA as signal dropout caused by surgical clips (A, straight arrow). Distal graft stenosis was correctly identified by both MRA (C, curved arrow) and DSA (G, curved arrow). Journal of Vascular Surgery 1996 23, 792-801DOI: (10.1016/S0741-5214(96)70241-0) Copyright © 1996 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions