PMID- 21618851
OWN - NLM
STAT- MEDLINE
DCOM- 20110616
LR  - 20190923
IS  - 0001-5458 (Print)
IS  - 0001-5458 (Linking)
VI  - 111
IP  - 2
DP  - 2011 Mar-Apr
TI  - The utility of contrast enhanced MR angiography as a first stage diagnostic 
      modality for treatment planning in lower extremity arterial occlusive disease.
PG  - 73-7
AB  - INTRODUCTION: The aim of this study was to evaluate the applicability of contrast 
      enhanced magnetic resonance angiography (ce-MRA) as a first stage imaging tool 
      for individual treatment planning in patients with lower extremity arterial 
      occlusive disease. PATIENTS AND METHODS: Between August, 2003 and June, 2004, in 
      128 consecutive patients (182 extremities) with clinical manifestations of lower 
      limb ischemia eligible for invasive therapy, treatment was planned based on 
      clinical assessment, ankle/brachial pressure index measurements combined with 
      ce-MRA. Additional duplex ultrasonography (DUS) or digital subtraction 
      angiography (DSA) was done when necessary. Ce-MRA findings were compared with 
      findings during open surgical, endovascular or combined procedures. RESULTS: In 
      28 extremities (15%) ce-MRA was found inconclusive and additional imaging was 
      performed. In the remaining patients (85% of the extremities (n = 154), treatment 
      was initiated as planned. However, in 19 (11%) of these patients, the treatment 
      plan was altered. In 7 of them, procedural findings did not correspond with those 
      at the time of ce-MRA, including 6 patients (3%) with a falsely diagnosed 
      stenosis or occlusion. In total, 62 patients received non-operative treatment 
      (34%), 65 an endovascular procedure (36%), 49 open surgical reconstruction (27%) 
      and 6 a combined treatment. CONCLUSIONS: We conclude that in the majority of 
      patients treatment can be planned based on ce-MRA images, although sometimes 
      additional DUS or DSA may be required.
FAU - Bosma, J
AU  - Bosma J
AD  - Department of Vascular Surgery, Onze Lieve Vrouwe Gasthuis, Amsterdam, the 
      Netherlands. j.bosma@olvg.nl
FAU - Montauban van Swijndregt, A D
AU  - Montauban van Swijndregt AD
FAU - Vahl, A C
AU  - Vahl AC
FAU - Wisselink, W
AU  - Wisselink W
LA  - eng
PT  - Journal Article
PL  - England
TA  - Acta Chir Belg
JT  - Acta chirurgica Belgica
JID - 0370571
SB  - IM
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Algorithms
MH  - Arterial Occlusive Diseases/*diagnosis/*therapy
MH  - Digitalis
MH  - Female
MH  - Humans
MH  - Image Enhancement
MH  - Lower Extremity/blood supply
MH  - Magnetic Resonance Angiography/*methods
MH  - Male
MH  - Middle Aged
MH  - Prospective Studies
MH  - Ultrasonography, Doppler, Duplex
EDAT- 2011/05/31 06:00
MHDA- 2011/06/17 06:00
CRDT- 2011/05/31 06:00
PHST- 2011/05/31 06:00 [entrez]
PHST- 2011/05/31 06:00 [pubmed]
PHST- 2011/06/17 06:00 [medline]
AID - 10.1080/00015458.2011.11680710 [doi]
PST - ppublish
SO  - Acta Chir Belg. 2011 Mar-Apr;111(2):73-7. doi: 10.1080/00015458.2011.11680710.