6533b858fe1ef96bd12b6148

RESEARCH PRODUCT

Magnetresonanztomographie bei chronischer Aortendissektion

K.-f. KreitnerMohr-kahaly SJust MP. GrebeRaimund ErbelManfred ThelenMeyer J

subject

Aortic dissectionAortamedicine.medical_specialtymedicine.diagnostic_testbusiness.industryVascular diseaseUltrasoundmedicine.diseaseEndoscopyDissectionmedicine.anatomical_structuremedicine.arteryMedicineRadiology Nuclear Medicine and imagingRadiologyThrombusEsophagusbusiness

description

17 patients with chronic aortic dissection were examined by MRI. In 12 patients, comparison between gradient echo sequences and SE sequences was possible. Gradient echo sequences, unlike SE sequences, permitted evaluation of flow in the true and false lumen, reliable differentiation between thrombus and flowing blood and clear delineation of the intimal flap. An additional comparison between transoesophageal ultrasound and MRT in 15 patients showed significant advantages in favour of MRI. In three patients MRI was able to detect more proximal origins of the dissection. Moreover, MRI allowed evaluation of the major aortic branches and their relation to the dissection; this was not possible with ultrasound. MRI plays an important role in the follow-up of chronic aortic dissections.

https://doi.org/10.1055/s-2008-1032614