[Value of MR angiography in follow-up after cruro-pedal bypass surgery].
Patients after crural or pedal revascularization need a consequent surveillance to prevent graft failure. We compared the results of the clinical examination including duplexscanning with contrast-enhanced magnetic resonance angiography (MRA). 26 bypass grafts were evaluated for potential stenosis in five locations. Using both techniques, 93 of 109 locations were classified identically. 10 of 16 locations which were categorized differently were reviewed angiographically (DSA). In contrast to duplexscanning, MRA detected 3 high grade stenosis, which had to be dilatated percutaneously. MRA should be used regularly in surveillance programs of distal bypass grafting.
Verrel
F
F
Chirurgische Klinik und Poliklinik, Gefässzentrum-Gefässchirurgie, Klinikum der Universität München-Innenstadt, Nussbaumstrasse 20/Pettenkoferstrasse 8a, 80336 München.
Meissner
O
O
Ruppert
V
V
Ramirez
H
H
Tato
F
F
Steckmeier
B
B
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001157:Arterial Occlusive Diseases / Q000175:diagnosis / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation; D005260:Female; D006083:Graft Occlusion, Vascular / Q000175:diagnosis*; D006801:Humans; D007511:Ischemia / Q000175:diagnosis / Q000601:surgery*; D007866:Leg / Q000098:blood supply*; D018810:Magnetic Resonance Angiography; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000175:diagnosis*; D012680:Sensitivity and Specificity; D018616:Ultrasonography, Doppler, Duplex
Wertigkeit der MR-Angiographie im follow-up nach cruro-pedalen Bypassanlagen.