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01-01-2008 | Vascular-Interventional

Magnetic resonance angiographic assessment of upper extremity vessels prior to vascular access surgery: feasibility and accuracy

Authors: Nils R. Planken, Jan H. Tordoir, Lucien E. Duijm, Harrie C. van den Bosch, Frank M. van der Sande, Jeroen P. Kooman, Michiel W. de Haan, Tim Leiner

Published in: European Radiology | Issue 1/2008

Abstract

A contrast-enhanced magnetic resonance angiography (CE-MRA) protocol for selective imaging of the entire upper extremity arterial and venous tree in a single exam has been developed. Twenty-five end-stage renal disease (ESRD) patients underwent CE-MRA and duplex ultrasonography (DUS) of the upper extremity prior to hemodialysis vascular access creation. Accuracy of CE-MRA arterial and venous diameter measurements were compared with DUS and intraoperative (IO) diameter measurements, the standard of reference. Upper extremity vasculature depiction was feasible with CE-MRA. CE-MRA forearm and upper arm arterial diameters were 2.94 ± 0.67 mm and 4.05 ± 0.84 mm, respectively. DUS arterial diameters were 2.80 ± 0.48 mm and 4.38 ± 1.24 mm; IO diameters were 3.00 ± 0.35 mm and 3.55 ± 0.51 mm. Forearm arterial diameters were accurately determined with both techniques. Both techniques overestimated upper arm arterial diameters significantly. Venous diameters were accurately determined with CE-MRA but not with DUS (forearm: CE-MRA: 2.64 ± 0.61 mm; DUS: 2.50 ± 0.44 mm, and IO: 3.40 ± 0.22 mm; upper arm: CE-MRA: 4.09 ± 0.71 mm; DUS: 3.02 ± 1.65 mm, and IO: 4.30 ± 0.78 mm). CE-MRA enables selective imaging of upper extremity vasculature in patients requiring hemodialysis access. Forearm arterial diameters can be assessed accurately by CE-MRA. Both CE-MRA and DUS slightly overestimate upper arm arterial diameters. In comparison to DUS, CE-MRA enables a more accurate determination of upper extremity venous diameters.

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Title: Magnetic resonance angiographic assessment of upper extremity vessels prior to vascular access surgery: feasibility and accuracy
Authors: Nils R. Planken
Jan H. Tordoir
Lucien E. Duijm
Harrie C. van den Bosch
Frank M. van der Sande
Jeroen P. Kooman
Michiel W. de Haan
Tim Leiner
Publication date: 01-01-2008
Publisher: Springer-Verlag
Published in: European Radiology / Issue 1/2008
Print ISSN: 0938-7994
Electronic ISSN: 1432-1084
DOI: https://doi.org/10.1007/s00330-007-0714-y

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Magnetic resonance angiographic assessment of upper extremity vessels prior to vascular access surgery: feasibility and accuracy

Abstract

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Abstract

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