title: Feasibility of Three-Dimensional MR Angiography Image Fusion Guidance for Endovascular Abdominal Aortic Aneurysm Repair.
abstract: Magnetic resonance (MR) angiography image fusion (IF) with live fluoroscopy guidance was used while performing endovascular repair of abdominal aortic aneurysm (EVAR) in five patients with a history of chronic renal disease or severe contrast allergy. Intraprocedural technical success was 100%. Median procedure time was 120 minutes (range, 60-180 min), fluoroscopy time was 40 minutes (range, 17-65 min), dose-area product was 245,867 mGy × cm(2) (range, 68,435-690,053 mGy × cm(2)), and iodinated contrast volume injected was 15 mL (range, 0-40 mL). Technical success was achieved in four of five patients (80%); one case was complicated by a type 1 endoleak on follow-up MR angiography, which was successfully treated. EVAR with MR angiography IF guidance was technically feasible and safe in five patients and reduced or eliminated the use of iodinated contrast media.
authors.affiliation: Department of Medical Imaging and Interventional Radiology, Henri Mondor Hospital, 51 avenue du Marechal de Lattre Tassigny, Créteil 94010, France.
authors.forename: Vania
authors.initials: V
authors.lastname: Tacher
authors.affiliation: Department of Vascular Surgery, Henri Mondor Hospital, 51 avenue du Marechal de Lattre Tassigny, Créteil 94010, France.
authors.forename: Pascal
authors.initials: P
authors.lastname: Desgranges
authors.affiliation: Department of Medical Imaging and Interventional Radiology, Henri Mondor Hospital, 51 avenue du Marechal de Lattre Tassigny, Créteil 94010, France.
authors.forename: Ketsakin
authors.initials: K
authors.lastname: You
authors.affiliation: Department of Medical Imaging and Interventional Radiology, Henri Mondor Hospital, 51 avenue du Marechal de Lattre Tassigny, Créteil 94010, France.
authors.forename: Fourat
authors.initials: F
authors.lastname: Ridouani
authors.affiliation: Department of Vascular Surgery, Henri Mondor Hospital, 51 avenue du Marechal de Lattre Tassigny, Créteil 94010, France.
authors.forename: Jean
authors.initials: J
authors.lastname: Marzelle
authors.affiliation: Department of Medical Imaging and Interventional Radiology, Henri Mondor Hospital, 51 avenue du Marechal de Lattre Tassigny, Créteil 94010, France. Electronic address: hicham.kobeiter@gmail.com.
authors.forename: Hicham
authors.initials: H
authors.lastname: Kobeiter
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D017544:Aortic Aneurysm, Abdominal / Q000601:surgery*; D003287:Contrast Media; D057510:Endovascular Procedures / Q000379:methods*; D005471:Fluoroscopy; D006801:Humans; D021621:Imaging, Three-Dimensional; D018810:Magnetic Resonance Angiography; D008297:Male; D008875:Middle Aged; D015641:Radiography, Interventional
chemical_list: D003287:Contrast Media