Radiology
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

Published online before print March 27, 2003, 10.1148/radiol.2272012079
This Article
Right arrow Figures Only
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow All Versions of this Article:
2272012079v1
227/2/601    most recent
Right arrow Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when eLetters are posted
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Han, K.-M.
Right arrow Articles by van den Bosch, H. C. M.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Han, K.-M.
Right arrow Articles by van den Bosch, H. C. M.
(Radiology 2003;227:601-605.)
© RSNA, 2003

Technical Developments

Failing Hemodialysis Access Grafts: Evaluation of Complete Vascular Tree with 3D Contrast-enhanced MR Angiography with High Spatial Resolution: Initial Results in 10 Patients1

Kuo-Ming Han, MD, Lucien E. M. Duijm, MD, PhD, Guillaume R. P. Thelissen, MSc, Philippe W. M. Cuypers, MD, PhD, Petra Douwes-Draaijer, MD, PhD, Alexander V. Tielbeek, MD, PhD, John H. M. Wondergem, MD and Harrie C. M. van den Bosch, MD

1 From the Departments of Radiology (K.M.H., L.E.M.D., A.V.T., J.H.M.W., H.C. M.v.d.B.), Vascular Surgery (P.W.M.C.), and Nephrology (P.D.D.), Catharina Hospital, Michelangelolaan 2, 5602 ZA Eindhoven, the Netherlands; and Philips Medical Systems, Best, the Netherlands (G.R.P.T.). Received December 21 2001; revision requested February 27, 2002; final revision received August 22; accepted August 27. Address correspondence to L.E.M.D. (e-mail: l.duijm@worldonline.nl).

Ten patients with failing hemodialysis access underwent contrast material–enhanced magnetic resonance (MR) angiography within 7 days before digital subtraction angiography (DSA). MR angiography was performed at 1.5 T by using a multistation multiinjection three-dimensional technique, and contrast material was injected via intravenous cannula. In all patients, MR angiographic images displayed the complete arterial inflow tract from the subclavian artery and access proper. The complete venous outflow tract up to the superior caval vein could be evaluated in all but one patient. DSA showed hemodynamically significant stenoses in 13 segments. MR angiography depicted all 13 stenoses and two false-positive findings, resulting in sensitivity of 100% and specificity of 94%.

© RSNA, 2003

Index terms: Dialysis shunts, 81.42 • Digital subtraction angiography, 81.1243, 81.1244, 81.42 • Grafts, stenosis or thrombosis, 81.42 • Magnetic resonance (MR), vascular studies, 81.12142, 81.12143, 81.42




This article has been cited by other articles:


Home page
 Am. J. Roentgenol.Home page
K. Nael, M. Krishnam, S. G. Ruehm, H. J. Michaely, G. Laub, and J. P. Finn
Time-Resolved MR Angiography in the Evaluation of Central Thoracic Venous Occlusive Disease
Am. J. Roentgenol., June 1, 2009; 192(6): 1731 - 1738.
[Abstract] [Full Text] [PDF]

Home page
 Am. J. Roentgenol.Home page
J. Zhang, E. M. Hecht, T. Maldonado, and V. S. Lee
Time-Resolved 3D MR Angiography with Parallel Imaging for Evaluation of Hemodialysis Fistulas and Grafts: Initial Experience.
Am. J. Roentgenol., May 1, 2006; 186(5): 1436 - 1442.
[Abstract] [Full Text] [PDF]

Home page
 Am. J. Roentgenol.Home page
S.-F. Ko, C.-C. Huang, S.-H. Ng, T.-Y. Lee, M.-J. Hsieh, F.-Y. Lee, M.-C. Chen, S.-M. Sheen-Chen, and C.-H. Lee
MDCT Angiography for Evaluation of the Complete Vascular Tree of Hemodialysis Fistulas
Am. J. Roentgenol., November 1, 2005; 185(5): 1268 - 1274.
[Abstract] [Full Text] [PDF]

Home page
 RadiologyHome page
C. L. Froger, L. E. M. Duijm, Y. S. Liem, A. V. Tielbeek, A. B. Donkers-van Rossum, P. Douwes-Draaijer, P. W. M. Cuypers, J. Buth, and H. C. M. van den Bosch
Stenosis Detection with MR Angiography and Digital Subtraction Angiography in Dysfunctional Hemodialysis Access Fistulas and Grafts
Radiology, January 1, 2005; 234(1): 284 - 291.
[Abstract] [Full Text] [PDF]