Magnetic resonance angiography in the management of lower extremity arterial occlusive disease: A prospective study Richard P. Cambria, MD, John A. Kaufman,

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Presentation transcript:

Magnetic resonance angiography in the management of lower extremity arterial occlusive disease: A prospective study Richard P. Cambria, MD, John A. Kaufman, MD, Gilbert J. L'Italien, PhD, Jonathan P. Gertler, MD, Glenn M. LaMuraglia, MD, David C. Brewster, MD, Stuart Geller, MD, Susan Atamian, RN, Arthur C. Waltman, MD, William M. Abbott, MD Journal of Vascular Surgery Volume 25, Issue 2, Pages 380-389 (February 1997) DOI: 10.1016/S0741-5214(97)70360-4 Copyright © 1997 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 1 Corresponding contrast arteriograms (A,C,E) and MRA (B,D,F,G) performed in head coil of patient with multilevel occlusive disease and resting ABI 0.45. A/B, Thigh station with superficial femoral artery occlusion (arrow) and geniculate collateral. C/D, Image just below knee joint reveals reconstituted popliteal artery (single arrow) and tibioperoneal trunk occlusion (double arrows). E/F, Runoff image with well-demonstrated posterior tibial artery (double arrows) running at least to ankle. Note also patent anterior tibial artery. G, Foot view (MRA) demonstrating posterior tibial artery at malleolar level (arrow), which is in continuity with plantar arch, whereas dorsalis pedis artery is occluded in foot (double arrow). Foot view was not requested in contrast ANGIO based on clinical factors. Based on this information, femoral posterior tibial bypass was performed. Journal of Vascular Surgery 1997 25, 380-389DOI: (10.1016/S0741-5214(97)70360-4) Copyright © 1997 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 1 Corresponding contrast arteriograms (A,C,E) and MRA (B,D,F,G) performed in head coil of patient with multilevel occlusive disease and resting ABI 0.45. A/B, Thigh station with superficial femoral artery occlusion (arrow) and geniculate collateral. C/D, Image just below knee joint reveals reconstituted popliteal artery (single arrow) and tibioperoneal trunk occlusion (double arrows). E/F, Runoff image with well-demonstrated posterior tibial artery (double arrows) running at least to ankle. Note also patent anterior tibial artery. G, Foot view (MRA) demonstrating posterior tibial artery at malleolar level (arrow), which is in continuity with plantar arch, whereas dorsalis pedis artery is occluded in foot (double arrow). Foot view was not requested in contrast ANGIO based on clinical factors. Based on this information, femoral posterior tibial bypass was performed. Journal of Vascular Surgery 1997 25, 380-389DOI: (10.1016/S0741-5214(97)70360-4) Copyright © 1997 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 1 Corresponding contrast arteriograms (A,C,E) and MRA (B,D,F,G) performed in head coil of patient with multilevel occlusive disease and resting ABI 0.45. A/B, Thigh station with superficial femoral artery occlusion (arrow) and geniculate collateral. C/D, Image just below knee joint reveals reconstituted popliteal artery (single arrow) and tibioperoneal trunk occlusion (double arrows). E/F, Runoff image with well-demonstrated posterior tibial artery (double arrows) running at least to ankle. Note also patent anterior tibial artery. G, Foot view (MRA) demonstrating posterior tibial artery at malleolar level (arrow), which is in continuity with plantar arch, whereas dorsalis pedis artery is occluded in foot (double arrow). Foot view was not requested in contrast ANGIO based on clinical factors. Based on this information, femoral posterior tibial bypass was performed. Journal of Vascular Surgery 1997 25, 380-389DOI: (10.1016/S0741-5214(97)70360-4) Copyright © 1997 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 1 Corresponding contrast arteriograms (A,C,E) and MRA (B,D,F,G) performed in head coil of patient with multilevel occlusive disease and resting ABI 0.45. A/B, Thigh station with superficial femoral artery occlusion (arrow) and geniculate collateral. C/D, Image just below knee joint reveals reconstituted popliteal artery (single arrow) and tibioperoneal trunk occlusion (double arrows). E/F, Runoff image with well-demonstrated posterior tibial artery (double arrows) running at least to ankle. Note also patent anterior tibial artery. G, Foot view (MRA) demonstrating posterior tibial artery at malleolar level (arrow), which is in continuity with plantar arch, whereas dorsalis pedis artery is occluded in foot (double arrow). Foot view was not requested in contrast ANGIO based on clinical factors. Based on this information, femoral posterior tibial bypass was performed. Journal of Vascular Surgery 1997 25, 380-389DOI: (10.1016/S0741-5214(97)70360-4) Copyright © 1997 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 1 Corresponding contrast arteriograms (A,C,E) and MRA (B,D,F,G) performed in head coil of patient with multilevel occlusive disease and resting ABI 0.45. A/B, Thigh station with superficial femoral artery occlusion (arrow) and geniculate collateral. C/D, Image just below knee joint reveals reconstituted popliteal artery (single arrow) and tibioperoneal trunk occlusion (double arrows). E/F, Runoff image with well-demonstrated posterior tibial artery (double arrows) running at least to ankle. Note also patent anterior tibial artery. G, Foot view (MRA) demonstrating posterior tibial artery at malleolar level (arrow), which is in continuity with plantar arch, whereas dorsalis pedis artery is occluded in foot (double arrow). Foot view was not requested in contrast ANGIO based on clinical factors. Based on this information, femoral posterior tibial bypass was performed. Journal of Vascular Surgery 1997 25, 380-389DOI: (10.1016/S0741-5214(97)70360-4) Copyright © 1997 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 1 Corresponding contrast arteriograms (A,C,E) and MRA (B,D,F,G) performed in head coil of patient with multilevel occlusive disease and resting ABI 0.45. A/B, Thigh station with superficial femoral artery occlusion (arrow) and geniculate collateral. C/D, Image just below knee joint reveals reconstituted popliteal artery (single arrow) and tibioperoneal trunk occlusion (double arrows). E/F, Runoff image with well-demonstrated posterior tibial artery (double arrows) running at least to ankle. Note also patent anterior tibial artery. G, Foot view (MRA) demonstrating posterior tibial artery at malleolar level (arrow), which is in continuity with plantar arch, whereas dorsalis pedis artery is occluded in foot (double arrow). Foot view was not requested in contrast ANGIO based on clinical factors. Based on this information, femoral posterior tibial bypass was performed. Journal of Vascular Surgery 1997 25, 380-389DOI: (10.1016/S0741-5214(97)70360-4) Copyright © 1997 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 1 Corresponding contrast arteriograms (A,C,E) and MRA (B,D,F,G) performed in head coil of patient with multilevel occlusive disease and resting ABI 0.45. A/B, Thigh station with superficial femoral artery occlusion (arrow) and geniculate collateral. C/D, Image just below knee joint reveals reconstituted popliteal artery (single arrow) and tibioperoneal trunk occlusion (double arrows). E/F, Runoff image with well-demonstrated posterior tibial artery (double arrows) running at least to ankle. Note also patent anterior tibial artery. G, Foot view (MRA) demonstrating posterior tibial artery at malleolar level (arrow), which is in continuity with plantar arch, whereas dorsalis pedis artery is occluded in foot (double arrow). Foot view was not requested in contrast ANGIO based on clinical factors. Based on this information, femoral posterior tibial bypass was performed. Journal of Vascular Surgery 1997 25, 380-389DOI: (10.1016/S0741-5214(97)70360-4) Copyright © 1997 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions