MAGNETIC-RESONANCE ANGIOGRAPHY IN TRANSJUGULAR INTRAHEPATIC PORTOSYSTEMIC STENTING - COMPARISON WITH CONTRAST HEPATIC AND PORTAL VENOGRAPHY

被引:12
作者
EUSTACE, S
BUFF, B
KRUSKAL, J
ROIZENTAL, M
FINN, JP
LONGMAID, HE
STOKES, K
HARTNELL, GG
机构
[1] The Department of Radiological Sciences, Deaconess Hospital, Harvard Medical School, Boston, MA 02215
关键词
LIVER; MRA; MAGNETIC RESONANCE (MR); ANGIOGRAPHY; INTERVENTIONAL RADIOLOGY; TIPS;
D O I
10.1016/0720-048X(94)00559-U
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
In order to highlight the role of magnetic resonance angiography [MRA] in the assessment of patients pre-transjugular intrahepatic portosystemic shunt (TIPS) stenting, the MRA images of portal and hepatic veins of 21 patients were compared with the images from contrast portal and hepatic venograms performed on the same patients at the time of TIPS stenting (20 patients). MRA enabled accurate, non-invasive, multiplanar imaging of portal and systemic venous anatomy in each of the patients studied. MRA facilitated accurate determination of vessel patency and flow direction, images correlating exactly with contrast venograms of hepatic and portal veins in each case. In one patient, identification of occult hepatocellular carcinoma extending to the portal vein lead to the postponement of the TIPS procedure.
引用
收藏
页码:43 / 49
页数:7
相关论文
共 18 条
[1]  
McCain, Bernadino, Sones, Berkman, Cassarella, Varices from portal hypertension: correlation of CT and angiography, Radiology, 154, pp. 63-69, (1985)
[2]  
Burns, Taylor, Blei, Doppler flowmetry and portal hypertension, Gastroenterology, 92, (1987)
[3]  
Hosoki, Kuroda, Tokunaga, Marukawa, Masuike, Kozuka, Et al., Hepatic venous outflow obstruction: evaluation with pulsed duplex sonography, Radiology, 170, (1987)
[4]  
Finn, Edelman, Jenkins, Lewis, Longmaid, Kane, Et al., Liver transplantation: MR angiography with surgical validation, Radiology, 179, pp. 265-269, (1991)
[5]  
Edelman, Zhao, Liu, Wentz, Mattle, Finn, McArdle, MR angiography and dynamic flow evaluation in the portal venous system, AJR, 153, pp. 755-760, (1989)
[6]  
Finn, Kane, Edelman, Jenkins, Lewis, Muller, Longmaid, Imaging of the portal venous system in patients with cirrhosis: MR angiography vs. duplex Doppler sonography, AJR, 161, pp. 989-994, (1993)
[7]  
Finn, Goldman, Edelman, Magnetic resonance angiography in the body, Magn Reson Q, 8, 1, pp. 1-23, (1992)
[8]  
Fleiss, The measurement of interrater agreement, Statistical methods for rates and proportions, pp. 217-233, (1981)
[9]  
Rosch, Hanafee, Snow, Transjugular portal venography and radiologic portacaval shunt: an experimental study, Radiology, 92, pp. 1112-1114, (1969)
[10]  
Colapinto, Stronell, Birch, Langer, Blendis, Greig, Et al., Creation of an intrahepatic portosystemic shunt with a Gruntzig balloon catheter, Can Med Assoc J, 126, pp. 267-268, (1982)