Pre-operative work-up
Clinical details
68-year-old man with symptomatic abdominal aortic aneurysm (AAA) primarily referred for peripheral MRA.
Summary of findings
Patient with symptomatic AAA referred for peripheral MRA. The high grade stenosis of the left ICA was confirmed by 64-MSCTA and the patient was discharged after successful thrombendarterectomy and aneurysm repair.
Description of images
After first-pass MRA of the abdomen and lower extremities, an ultra-sonographically suspected left ICA stenosis is confirmed by the 0.66 mm isotropic resolution steady-state MRA with Gadofosveset (arrow). This approach facilitates the pre-operative work-up of patients with systemic vascular disease without the need of a second contrast injection or a separate MR examination.
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