Femoro-Popliteal Bypass

Clinical details

59-year-old female with peripheral arterial occlusive disease and left femoro-popliteal bypass.

Summary of findings

59-year-old female with femoro-popliteal bypass. The stenosis implicates that the patient has an increased risk of short-term bypass occlusion. Therefore, the patient management was changed to more frequent follow-ups than primarily considered after the first-pass study result.

Description of images

From own experiences it is known that first pass MRA image quality with Gadofosveset is equal or better than first pass MRA with conventional extracellular MRCM. The stenosis of the distal anastomosis is clearly depicted on the high spatial resolution steadystate MRA image with Gadofosveset (on the right; arrow) but not on the lower spatial resolution first-pass image of the same patient (on the left; arrow).

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