Evaluation of balloon angioplasty of coarctation restenosis by magnetic resonance imaging

Renate L. Soulen, Jean Kan, Sally Mitchell, Robert I. White

Research output: Contribution to journalArticle

Abstract

Eight patients treated by balloon angioplasty for coarctation restenosis have been followed for 4 to 54 months (mean 40) by physical examination using Doppler pressures and by magnetic resonance imaging in a superconducting magnet operating at 0.6 tesla. Image analysis was performed by inspection and by measurement of the aorta, with particular attention to the angioplasty site and its relation to the ascending aorta at the same axial level. Similar measurements were made from immediate postangioplasty angiograms. Residual pressure gradients were 0 to 12 mm (mean 2), reflecting persistent absence of a gradient in 1 patient and further gradient reduction in 7. Images showed no aneurysm formation, mild residual or recurrent stenosis in 4 patients, minimal focal periaortic soft tissue thickening in 1 patient and an interval increase in the ratio of ballooned segment diameter to ascending aortic diameter in the 7 patients in whom it could be measured. Thus, intermediate-term results of balloon dilatation of coarctation restenosis are excellent and magnetic resonance imaging is well suited to the serial studies required in these patients.

Original languageEnglish (US)
Pages (from-to)343-345
Number of pages3
JournalThe American journal of cardiology
Volume60
Issue number4
DOIs
StatePublished - Aug 1 1987

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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