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The use of non-contrast-enhanced MRI to evaluate serial changes in endoleaks after aortic stenting: a case report

BACKGROUND: Aortic dissection is a life-threatening syndrome that sometimes requires emergency intervention, and endovascular aortic aneurysm repair (EVAR) is a treatment option. Long-term image follow-up is also required for patients after EVAR due to possible complications. CASE PRESENTATION: We p...

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Detalles Bibliográficos
Autores principales: Lee, Yu-Li, Huang, Yao-Kuang, Hsu, Li-Sheng, Chen, Pang-Yen, Chen, Chien-Wei
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6805478/
https://www.ncbi.nlm.nih.gov/pubmed/31640602
http://dx.doi.org/10.1186/s12880-019-0379-4
Descripción
Sumario:BACKGROUND: Aortic dissection is a life-threatening syndrome that sometimes requires emergency intervention, and endovascular aortic aneurysm repair (EVAR) is a treatment option. Long-term image follow-up is also required for patients after EVAR due to possible complications. CASE PRESENTATION: We present the case of a 73-year-old male with underlying chronic renal disease diagnosed with a type A aortic dissection who underwent EVAR. Four-dimensional (three spatial dimensions combined with time) phase-contrast magnetic resonance imaging (4D PC-MRI) was performed during regular follow-up in preference to contrast-enhanced computed tomography or simple MRI while taking his poor renal function into consideration. CONCLUSIONS: We considered this preferable given his issues with renal function.