Visualizing type IV endoleak using magnetic resonance imaging with a blood pool contrast agent

Sandra A. Cornelissen*, Hence J. Verhagen, Mathias Prokop, Frans L. Moll, Lambertus W. Bartels

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

17 Citations (Scopus)

Abstract

Growing evidence suggests that graft porosity hampers aneurysm shrinkage in patients who have been treated with the original Excluder device. To our knowledge, this suspected porosity has never been visualized in such patients. We present three patients treated with the original Excluder device whose aneurysms did not shrink in the first 2 years after treatment. Computed tomography (CT) angiography and late phase CT did not show endoleak. We performed late phase magnetic resonance imaging with a blood pool agent to visualize graft porosity. Our cases illustrate the usability of a new contrast agent and a new imaging strategy for visualizing slow-flow endoleaks that can not be imaged using currently used imaging techniques with conventional contrast agents.

Original languageEnglish
Pages (from-to)861-864
Number of pages4
JournalJournal of Vascular Surgery
Volume47
Issue number4
DOIs
Publication statusPublished - Apr 2008

Bibliographical note

Funding Information:
Competition of interest: Drs Cornelissen and Prokop have received a research grant from Bayer-Schering Pharma. Dr Verhagen has been paid a consulting fee by WL Gore and Associates. Dr Prokop has been paid speaker fees from Bayer-Schering Pharma, Bracco SA, GE Health Care. Drs Prokop, Cornelissen, and Bartels have a patent pending.

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