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Whole-Body 3D MR Angiography of Patients with Peripheral Arterial Occlusive Disease

Christoph U. Herborn1, Mathias Goyen1, Harald H. Quick1, Silke Bosk1, Sandra Massing1, Knut Kroeger2, Dirk Stoesser3, Stefan G. Ruehm1 and Jörg F. Debatin1

1 Department of Diagnostic and Interventional Radiology, University Hospital Essen, Hufelandstrasse 55, Essen 45122, Germany.
2 Department of Angiology, University Hospital Essen, Essen 45122, Germany.
3 Department of Radiology, Catholic Hospitals Essen-Nord, Hospitalstrasse 24, Essen 45329, Germany.



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  		Fig. 1A. —64-year-old man with history of peripheral vascular disease and pain-free walking distance of less than 200 m. Intraarterial digital subtraction angiogram shows aneurysmal changes of left common femoral artery, occlusion of left superficial femoral artery, and aneurysm (arrows) of right popliteal artery.

 


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  		Fig. 1B. —64-year-old man with history of peripheral vascular disease and pain-free walking distance of less than 200 m. Coronal maximum intensity projection of 3D whole-body MR angiogram using moving table shows aneurysmal changes of left common femoral artery, occlusion of left superficial femoral artery, and aneurysms (arrows) of right popliteal artery as well as thoracic aorta and supraaortic branches.

 


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  		Fig. 2A. —68-year-old woman with history of peripheral vascular disease and pain-free walking distance of more than 200 m. Intraarterial digital subtraction angiogram shows sacciform aneurysm (arrow) of right common iliac artery.

 


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  		Fig. 2B. —68-year-old woman with history of peripheral vascular disease and pain-free walking distance of more than 200 m. Coronal maximum intensity projection of 3D whole-body MR angiogram using moving table shows aneurysm of right common iliac artery (straight arrow) and additional high-grade stenosis of right internal carotid artery (curved arrow).

 


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  		Fig. 2C. —68-year-old woman with history of peripheral vascular disease and pain-free walking distance of more than 200 m. Magnification of coronal maximum intensity projection of 3D whole-body MR angiogram shows lesion of right internal carotid artery (arrow). Stenosis was initially unsuspected and verified on duplex sonography (not shown).

 


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  		Fig. 3A. —55-year-old man with clinically documented peripheral vascular disease and pain-free walking distance of more than 200 m. Intraarterial digital subtraction angiogram shows bilateral diffuse atherosclerotic changes of lower extremity arterial system (arrows).

 


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  		Fig. 3B. —55-year-old man with clinically documented peripheral vascular disease and pain-free walking distance of more than 200 m. Coronal maximum intensity projection of 3D whole-body MR angiogram using moving table falsely shows right posterior tibioperoneal artery (straight arrows) to be occluded. Unsuspected aneurysm (curved arrow) of ascending aorta was detected.

 


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  		Fig. 3C. —55-year-old man with clinically documented peripheral vascular disease and pain-free walking distance of more than 200 m. Magnification of coronal maximum intensity projection of 3D whole-body MR angiogram shows aortic aneurysm (arrows) with diameter of 4.7 cm.

 


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  		Fig. 4A. —65-year-old man with clinically documented peripheral vascular disease and pain-free walking distance of less than 200 m. Intraarterial digital subtraction angiogram shows bilateral atherosclerotic changes of lower extremity arterial vasculature and occlusion of right tibioperoneal trunk (arrow).

 


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  		Fig. 4B. —65-year-old man with clinically documented peripheral vascular disease and pain-free walking distance of less than 200 m. Coronal maximum intensity projection of 3D whole-body MR angiogram using moving table shows bilateral atherosclerotic changes of lower extremity arterial vasculature and occlusion of right tibioperoneal trunk (straight arrow). In addition, unsuspected left renal artery stenosis (curved arrow) was found.

 


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  		Fig. 4C. —65-year-old man with clinically documented peripheral vascular disease and pain-free walking distance of less than 200 m. Magnification of coronal maximum intensity projection of 3D whole-body MR angiogram shows left renal artery stenosis (arrow).

 

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