[Contrast-enhanced MR angiography in Leriche's syndrome].
OBJECTIVE
To determine the usefulness of contrast-enhanced MR angiography for the diagnosis of Leriche's syndrome.


METHODS
Leriche's syndrome was seen in 7 patients via DSA. In addition, contrast-enhanced MR angiography was performed (TR 7.8 ms/TE 2.1 ms, flip angle 30 degrees, slab thickness 116 mm, slice thickness 1.82 mm, 64 partitions, FOV 500 x 438 mm, matrix 224 x 512).


RESULTS
Diagnosis of Leriche's syndrome was possible by contrast-enhanced MR angiography in each case. Visualisation of the femoral arteries was not possible in two patients by intraarterial DSA, in three other patients there was an insufficient contrast in the femoral arteries with DSA. Contrast-enhanced MR angiography revealed good visualisation of the femoral arteries in these patients. In addition, contrast-enhanced MR angiography allowed complete visualisation of the patent lower limb arteries. In intraarterial DSA visualisation of the lower limb arteries was achieved reached in only one patient, but was incomplete.


CONCLUSIONS
Contrast-enhanced MR angiography yielded the correct diagnosis of Leriche's syndrome in all 7 patients. Contrast-enhanced MR angiography was superior to DSA in the assessment of the distal run-off vessels in five of seven patients.
Link
J
J
Klinik für Radiologische Diagnostik, Christian-Albrechts-Universität Kiel.
Steffens
J C
JC
Brossmann
J
J
Loose
R
R
Heller
M
M
D000328:Adult; D000368:Aged; D015901:Angiography, Digital Subtraction; D003287:Contrast Media; D005069:Evaluation Studies as Topic; D005260:Female; D019786:Gadolinium DTPA; D006801:Humans; D007925:Leriche Syndrome / Q000175:diagnosis*; D018810:Magnetic Resonance Angiography / Q000379:methods*; D008297:Male; D008875:Middle Aged
D003287:Contrast Media; C064925:gadodiamide; D019786:Gadolinium DTPA