Feasibility of non-contrast-enhanced magnetic resonance angiography for imaging upper extremity vasculature prior to vascular access creation.

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  • Author(s): Bode AS;Bode AS; Planken RN; Merkx MA; van der Sande FM; Geerts L; Tordoir JH; Leiner T
  • Source:
    European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery [Eur J Vasc Endovasc Surg] 2012 Jan; Vol. 43 (1), pp. 88-94. Date of Electronic Publication: 2011 Nov 08.
  • Publication Type:
    Comparative Study; Journal Article; Research Support, Non-U.S. Gov't
  • Language:
    English
  • Additional Information
    • Source:
      Publisher: Elsevier Country of Publication: England NLM ID: 9512728 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1532-2165 (Electronic) Linking ISSN: 10785884 NLM ISO Abbreviation: Eur J Vasc Endovasc Surg Subsets: MEDLINE
    • Publication Information:
      Publication: 2002-: London : Elsevier
      Original Publication: London, UK : W.B. Saunders Co. Ltd., c1995-
    • Subject Terms:
      Arteriovenous Shunt, Surgical*/adverse effects ; Contrast Media* ; Magnetic Resonance Angiography* ; Renal Dialysis*; Kidney Failure, Chronic/*therapy ; Upper Extremity/*blood supply; Adult ; Aged ; Artifacts ; Case-Control Studies ; Feasibility Studies ; Female ; Humans ; Male ; Middle Aged ; Netherlands ; Predictive Value of Tests ; Preoperative Care ; Young Adult
    • Abstract:
      Objectives: Preoperative mapping of arterial and venous anatomy helps to prevent postoperative complications after vascular access creation. The use of gadolinium in contrast-enhanced (CE) magnetic resonance angiography (MRA) has been linked to nephrogenic systemic fibrosis in patients with end-stage renal disease (ESRD). The purpose of this study was to evaluate non-contrast-enhanced (NCE) MRA for assessment of upper extremity and central vasculature and to compare it with CE-MRA.
      Methods: NCE and CE-MRA images were acquired in 10 healthy volunteers and 15 patients with ESRD. In each data set, two observers analysed 11 arterial and 16 venous segments with regard to image quality (0-4), presence of artefacts (0-2) and vessel-to-background ratio.
      Results: More arterial segments were depicted using CE-MRA compared to NCE-MRA (99% vs. 96%, p = 0.001) with mean image quality of 3.80 vs. 2.68, (p < 0.001) and mean vessel-to-background ratio of 6.47 vs. 4.14 (p < 0.001). Ninety-one percent of the venous segments were portrayed using NCE-MRA vs. 80% using CE-MRA (p < 0.001). Mean image quality and vessel-to-background ratio were 2.41 vs. 2.21 (p = 0.140) and 5.13 vs. 3.88 (p < 0.001), respectively.
      Conclusions: Although arterial image quality and vessel-to-background ratios were lower, NCE-MRA is considered a feasible alternative to CE-MRA in patients with ESRD who need imaging of the upper extremity and central vasculature prior to dialysis access creation.
      (Copyright © 2011 European Society for Vascular Surgery. Published by Elsevier Ltd. All rights reserved.)
    • Accession Number:
      0 (Contrast Media)
    • Publication Date:
      Date Created: 20111111 Date Completed: 20120207 Latest Revision: 20151119
    • Publication Date:
      20231215
    • Accession Number:
      10.1016/j.ejvs.2011.09.012
    • Accession Number:
      22070856