Journal of Vascular Surgery
Volume 39, Issue 1 , Pages 27-33 , January 2004

Time-resolved magnetic resonance angiography as a noninvasive method to characterize endoleaks: initial results compared with conventional angiography

Presented at the Fifty-seventh Annual Meeting of the Society for Vascular Surgery, Chicago, Ill, Jun 8-11, 2003.

  • Robert A Lookstein, MD

      Affiliations

    • Departments of Interventional Radiology , New York, NY, USA
    • Corresponding Author InformationReprint requests: Robert A. Lookstein, MD, Mount Sinai Medical Center, One Gustave L. Levy Place, Box 1234, New York, NY 10029, USA
    • ,
  • Jeffrey Goldman, MD

      Affiliations

    • Department of Radiology, , New York, NY, USA
    • ,
  • Lev Pukin, MD

      Affiliations

    • Departments of Interventional Radiology , New York, NY, USA
    • ,
  • Michael L Marin, MD

      Affiliations

    • Department of Vascular Surgery, Mount Sinai Medical Center, New York, NY, USA

Received 9 June 2003 ,Accepted 29 September 2003.

  • Image Result

    A, Multidetector computed tomographic angiogram of a patient with a bifurcated aortic stent graft and a large endoleak seen to the left side of the graft. Shaded surface display and maximum intensity

    A, Multidetector computed tomographic angiogram of a patient with a bifurcated aortic stent graft and a large endoleak seen to the left side of the graft. Shaded surface display and maximum intensity projection demonstrate the endoleak to be in continuity with the inferior mesenteric artery. The leak is in proximity to the proximal attachment site of the device. B, Contrast-enhanced magnetic resonance angiography in anteroposterior and lateral projections demonstrate the endoleak channel. C, Time-resolved magnetic resonance angiography imaged in the coronal plane demonstrates that this patient with a bifurcated abdominal endograft has a proximal type 1 endoleak with outflow via the inferior mesenteric artery. D, Conventional digital subtraction angiogram confirms the diagnosis of the proximal type.

  • Image Result
    A, Multidetector computed tomographic angiogram of a patient with a bifurcated aortic stent graft and a large endoleak seen to the left side of the graft. Shaded surface display and maximum intensity

    A, Multidetector computed tomographic angiogram of a patient with a bifurcated aortic stent graft and a large endoleak seen to the left side of the graft. Shaded surface display and maximum intensity projection demonstrate the endoleak to be in continuity with the inferior mesenteric artery. The leak is in proximity to the proximal attachment site of the device. B, Contrast-enhanced magnetic resonance angiography in anteroposterior and lateral projections demonstrate the endoleak channel. C, Time-resolved magnetic resonance angiography imaged in the coronal plane demonstrates that this patient with a bifurcated abdominal endograft has a proximal type 1 endoleak with outflow via the inferior mesenteric artery. D, Conventional digital subtraction angiogram confirms the diagnosis of the proximal type.

  • Image Result
    Algorithm for diagnosing and treating endoleaks.

    Algorithm for diagnosing and treating endoleaks.

☆ Competition of interest: none.

PII: S0741-5214(03)01411-3

doi: 10.1016/j.jvs.2003.09.035

Journal of Vascular Surgery
Volume 39, Issue 1 , Pages 27-33 , January 2004

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