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Phase contrast MR imaging to measure changes in collateral blood flow after stenting of recurrent aortic coarctation: Initial experience

✍ Scribed by Sandra Pujadas; Gautham P. Reddy; Oliver Weber; Christopher Tan; Philip Moore; Charles B. Higgins


Publisher
John Wiley and Sons
Year
2006
Tongue
English
Weight
201 KB
Volume
24
Category
Article
ISSN
1053-1807

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✦ Synopsis


Abstract

Purpose

To assess the feasibility of using phase contrast magnetic resonance (PC‐MR) imaging to measure the change in collateral blood flow early after stenting of aortic coarctation.

Materials and Methods

A total of 10 consecutive patients with coarctation of the aorta underwent MR imaging, X‐ray angiography, and stent placement. PC‐MR at two sites in the descending aorta was performed before and early after stenting in order to estimate collateral inflow to the descending thoracic aorta. The collateral flow and collateral flow percentage before and after stent placement were compared.

Results

Before stenting, the mean proximal aortic flow = 43.9 ± 14.6 mL/second; mean distal flow = 54.2 ± 10 mL/second; collateral flow = 10.2 ± 6.8 mL/second; and collateral flow percentage = 30.1 ± 27.9%. After stenting, the mean proximal aortic flow = 62.1 ± 17.9 mL/second; mean distal flow = 60 ± 19 mL/second; collateral flow = –1.9 ± 3.7 mL/second; and collateral flow percentage = –3.3 ± 6.8%.

Conclusion

PC‐MR can be used to measure changes in collateral circulation after stent treatment of coarctation of the aorta. J. Magn. Reson. Imaging 2006. © 2006 Wiley‐Liss, Inc.