Magnetic resonance imaging compared with angiography in the evaluation of intermediate-term result of coarctation balloon angioplasty

Fawzy, Mohamed; Sinner, W; Rifai, Ayman; Galal, Omar; Dunn, Bruce E.; El-Deeb, Fekry; Zaman, Liaqat

doi:10.1016/0002-8703(93)90537-j

Cited by 24 publications

(13 citation statements)

References 12 publications

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“…Magnetic resonance imaging has been shown to be comparable to angiography and consistently better than echocardiography in identifying the anatomy of coarctation [3,[5][6]. Long term studies of children treated for coarctation of the aorta show a high incidence of recoarctation [9,13] and significant incidence of aneurysm formation [14,15], suggesting the need for vigilant follow-up by noninvasive imaging such as magnetic resonance imaging.…”

Section: Discussionmentioning

confidence: 99%

“…Aneurysms were detected in 15 children, but in both views in only three children. Recoarctation and aneurysm detection were both statistically more likely to be detected if oblique coronal and oblique parasagittal views were obtained, indicating that multiple imaging planes are necessary to completely evaluate magnetic resonance imaging of coarctation.Magnetic resonance imaging has become established for the evaluation of the aorta following surgery [1][2][3][4][5] or balloon angioplasty [6][7][8]. Magnetic resonance imaging is noninvasive and yields morphologic results similar to angiography and frequently superior to ultrasound.…”

mentioning

confidence: 99%

“…Magnetic resonance imaging has become established for the evaluation of the aorta following surgery [1][2][3][4][5] or balloon angioplasty [6][7][8]. Magnetic resonance imaging is noninvasive and yields morphologic results similar to angiography and frequently superior to ultrasound.…”

mentioning

confidence: 99%

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Evaluation of Magnetic Resonance Imaging in Coarctation of the Aorta: The Importance of Multiple Imaging Planes

Greenberg

Marks²,

Eshaghpour

1997

Pediatr Cardiol

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Coarctation of the aorta can be evaluated reliably and noninvasively by magnetic resonance imaging. However, the value of different imaging planes in the evaluation of restenosis or aneurysm has not previously been studied. Our purpose was to study the relative sensitivity for oblique coronal and oblique parasagittal magnetic resonance imaging to detect restenosis or aneurysm formation in children following surgical repair or balloon angioplasty of coarctation of the aorta. The study included magnetic resonance imaging studies in 27 children. Each exam included ECG gated, spin-echo imaging in oblique coronal and oblique parasagittal planes. Recoarctation was defined as a greater than 50% narrowing of the aorta. Aneurysms were defined as focal dilatation of the aorta in the region of coarctation 20% or greater than the adjacent aortic diameter. Recoarctation was detected in 11 children, but in both views in only five children. Aneurysms were detected in 15 children, but in both views in only three children. Recoarctation and aneurysm detection were both statistically more likely to be detected if oblique coronal and oblique parasagittal views were obtained, indicating that multiple imaging planes are necessary to completely evaluate magnetic resonance imaging of coarctation.

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Section: Discussionmentioning

confidence: 99%

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confidence: 99%

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Evaluation of Magnetic Resonance Imaging in Coarctation of the Aorta: The Importance of Multiple Imaging Planes

Greenberg

Marks²,

Eshaghpour

1997

Pediatr Cardiol

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“…1A) (13)(14)(15) and is therefore sensitive in the detection and follow-up of aneurysms and recoarctation after balloon angioplasty (18) or surgical intervention (13)(14)(15). Oblique spin-echo images also allow visualization of additional pathology of the aorta, such as displacement of the left subclavian artery and aneurysmal dilatation of the ascending aorta (14).…”

Section: Coarctation Of the Aortamentioning

confidence: 99%

Postoperative evaluation of congenital heart disease by magnetic resonance imaging

Roest

Helbing

Wall

et al. 1999

J. Magn. Reson. Imaging

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“…22 MRI is the gold standard for evaluating AWI after surgical repair or BA. 34 Although MRI has historically been limited in patients with stents because of magnetic susceptibility and metallic stent artifact, with new sequences and MRI compatible stents it is becoming a feasible and attractive alternative in many patients. 35,36 In most patients with CoA stents, CT is considered the best method of surveillance for AWI and other stent-related complications.…”

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confidence: 99%

Aortic Wall Injury Related to Endovascular Therapy for Aortic Coarctation

Tretter

Jones

McElhinney

2015

Circ: Cardiovascular Interventions

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Abstract-Aortic wall complications can occur in unrepaired aortic coarctation (CoA) and after surgical repair or endovascular treatment. This review summarizes the available literature and current understanding of aortic wall injury (AWI) surrounding the management of CoA, focusing specifically on acute and follow-up AWI after endovascular treatment.There have been 23 reported cases of aortic rupture after endovascular treatment for CoA, including angioplasty alone, bare metal stenting, and primary covered stent therapy. Even if these published cases represent only a minority of ruptures that have actually occurred, the incidence is substantially <1%. The incidence of acute aneurysm formation was 0% to 13% after angioplasty, 0% to 5% after bare metal stent placement, and <1% after covered stent placement. The reported incidence and natural history of both acute and new AWI during follow-up after endovascular therapy for CoA varies considerably, likely secondary to ascertainment and reporting biases and inconsistent definitions. Although important AWI after endovascular treatment of CoA seems to be declining in frequency with increasing experience and improving technology, it remains one of the most important potential adverse outcomes. Long-term surveillance for new AWI and monitoring of existing AWI is mandatory, with institution of appropriate treatment when necessary. A central research focus in this population should be determination of the appropriate treatment for both native and recurrent CoA across various ages with regard to limiting recurrent CoA and preventing associated aortic wall complications, in addition to determining the appropriate treatment of various AWI. Consistent definitions and reporting are necessary to truly understand the incidence of, risk factors for, and measures protective against AWI after angioplasty or stent implantation for CoA. Contemporary Reviews in Interventional CardiologyA ortic wall complications can occur in both unrepaired aortic coarctation (CoA) and after surgical repair or endovascular treatment. In this review, we summarize the literature on and current understanding of aortic wall injury (AWI) surrounding the management of CoA, focusing specifically on endovascular treatment. Before reviewing AWI related to balloon angioplasty (BA) and stent therapy, it is important to set the context by providing an overview of historical, anatomic, and physiological factors that may be related to aortic wall complications in CoA patients, as well as a brief discussion of AWI in patients with surgically repaired CoA.

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Magnetic resonance imaging compared with angiography in the evaluation of intermediate-term result of coarctation balloon angioplasty

Cited by 24 publications

References 12 publications

Evaluation of Magnetic Resonance Imaging in Coarctation of the Aorta: The Importance of Multiple Imaging Planes

Evaluation of Magnetic Resonance Imaging in Coarctation of the Aorta: The Importance of Multiple Imaging Planes

Postoperative evaluation of congenital heart disease by magnetic resonance imaging

Aortic Wall Injury Related to Endovascular Therapy for Aortic Coarctation

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