Aortic aneurysm pulsatile wall motion imaged by cine MRI: A tool to evaluate efficacy of endovascular aneurysm repair?

A. W.F. Vos, W. Wisselink, J. T. Marcus, R. A. Manoliu, J. A. Rauwerda

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Abstract

Objectives: to evaluate cine MRI as a means of determining the two-dimensional pulsatile wall motion (2D-PWM) of abdominal aortic aneurysm (AAA). Design: prospective study of 21 patients with AAA. 2D-PWM was defined as change in cross-sectional area. Results: the median diastolic area was 28cm 2 (intraquartile range, IQR, 22-31 cm2) and the median (IQR) 2D-PWM was 0.25 (0.10-0.40) cm2. Assuming that the AAA is circular in cross-section this represents a median (IQR) diameter increase of 0.3 (0.1-0.4) mm. However, local wall displacements up to 2 mm were present in varying directions, without significant change in surface area. Conclusion: AAA PWM is negligible and may not therefore be a potential tool to assess efficacy of endovascular aneurysm exclusion.

Original languageEnglish
Pages (from-to)158-161
Number of pages4
JournalEuropean Journal of Vascular and Endovascular Surgery
Volume23
Issue number2
DOIs
Publication statusPublished - Feb 2002

Keywords

  • Aneurysm
  • Cine MRI
  • Endovascular
  • Pulsatile wall motion

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