Document Detail


Pancreas allografts: comparison of three-dimensional rotational angiography with standard digital subtraction angiography.
MedLine Citation:
PMID:  18341956     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: To define the role of three-dimensional (3D) rotational angiography (RA) for the evaluation of pancreas allografts and compare 3D RA to standard digital subtraction angiography (DSA). MATERIALS AND METHODS: DSA and 3D RA were performed in patients with vascular abnormalities diagnosed on contrast medium-enhanced magnetic resonance (MR) angiography. Patency of the allograft vasculature, confidence in the ability to make a therapeutic decision, and value of the study for definition of the optimal projection for an intervention was assessed on a graded scale. RESULTS: Seventeen standard DSA projections (mean, 3.4; range, 2-6) and 10 3D RA images (mean, 2; range, 1-3) were obtained in five patients. An average iodinated contrast agent dose of 14.4 mL (range, 8-22 mL) was administered for DSA. An average CO2 dose of 54 mL (range, 0-120 mL) was administered for 3D RA. Five 3D RA procedures were timed for the arterial phase and five were timed for the arterial and venous phases. Average contrast agent doses were 17.6 mL (range, 11-22 mL) for arterial 3D RA and 24.4 mL (range, 16-34 mL) for arterial- and venous-phase 3D RA. Of 68 vascular segments available for direct comparison of patency, complete concordance was present in 96%. There was no difference in the reviewers' diagnostic confidence (10 +/- 0 for both techniques). Three-dimensional RA was considered significantly superior for planning the optimal projection for intervention (10 +/- 0 for 3D RA vs 7.2 +/- 1.6 for DSA; P = .0052). CONCLUSIONS: Three-dimensional RA of pancreatic allografts is feasible and does not differ in accuracy from conventional DSA. It provides similar reviewer confidence in the ability to make an accurate treatment decision, but its key advantage is its superior ability to define the optimal projection for planned endovascular interventions.
Authors:
Ugur Bozlar; Kenneth L Brayman; Klaus D Hagspiel
Related Documents :
18462576 - Systematic review of the clinical effectiveness and cost-effectiveness of 64-slice or h...
2678596 - The value of angiography in cerebrovascular disease.
20177976 - Preliminary experience with mra in evaluating the degree of carotid stenosis and plaque...
1727306 - Detection of internal carotid artery stenosis: comparison of mr angiography, color dopp...
11986606 - The st jude medical symmetry aortic connector system for proximal vein graft anastomose...
11206876 - Laparoscopic cholecystectomy in patient with portal cavernoma and portal hypertension.
Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Journal of vascular and interventional radiology : JVIR     Volume:  19     ISSN:  1051-0443     ISO Abbreviation:  J Vasc Interv Radiol     Publication Date:  2008 Feb 
Date Detail:
Created Date:  2008-03-17     Completed Date:  2008-05-13     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9203369     Medline TA:  J Vasc Interv Radiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  239-44     Citation Subset:  IM    
Affiliation:
Department of Radiology, University of Virginia Health System, Box 800170, Lee Street, Charlottesville, VA 22908, USA.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Adult
Angiography, Digital Subtraction*
Contrast Media
Humans
Imaging, Three-Dimensional*
Magnetic Resonance Angiography*
Male
Middle Aged
Pancreas / blood supply*
Pancreas Transplantation*
Retrospective Studies
Transplantation, Homologous
Triiodobenzoic Acids
Chemical
Reg. No./Substance:
0/Contrast Media; 0/Triiodobenzoic Acids; 92339-11-2/iodixanol

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Endovascular training with animals versus virtual reality systems: an economic analysis.
Next Document:  Similarity of the swine vasculature to the human carotid bifurcation: analysis of arterial diameters...