Innovative MDCT Using Intravenous Femoral Catheterization in Evaluation of Patients with Chronic Lower Extremity Edema

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Abstract

PURPOSE: Patients with chronic unilateral/bilateral lower extremity edema usually have some kinds of anatomical
vascular abnormalities in the pelvis. It is important to accurately evaluate these vascular anomalies for surgical
planning. The aim of this study was to evaluate anatomical vascular abnormalities of bilateral iliac arteries/veins with
use of volume-rendering images on MDCT.
MATERIAL AND METHODS: Twenty patients received bilateral iliac venography initially via femoral puncture.
After the venographic examination, a 5-F vascular sheath in femoral vein and 4-F catheter in contralateral femoral
vein were retained in vessels and the patients immediately underwent contrast-enhanced CT scan on a 64-MDCT unit
and injection of contrast medium via the 5-F vascular sheath and 4-F catheter simultaneously. Volume-rendering
images were made by one radiologist who conducted the prior iliac venography. The surgical findings were
compared.
RESULTS: All these 20 patients received surgery. Comparison of surgical findings with the volume-rendering images
showed good correlation.
CONCLUSION: Intravenous femoral catheterization for MDCT enables to demonstrate the anatomical vascular
abnormalities in the pelvis in those patients with chronic unilateral/bilateral lower extremities edema.
Original languageEnglish
Publication statusPublished - Mar 2009

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Thigh
Catheterization
Lower Extremity
Edema
Blood Vessels
Phlebography
Pelvis
Catheters
Iliac Vein
Femoral Vein
Iliac Artery
Punctures
Contrast Media
Injections

Cite this

@conference{ae29292bcf1945e0af64df04d6dbc61a,
title = "Innovative MDCT Using Intravenous Femoral Catheterization in Evaluation of Patients with Chronic Lower Extremity Edema",
abstract = "PURPOSE: Patients with chronic unilateral/bilateral lower extremity edema usually have some kinds of anatomicalvascular abnormalities in the pelvis. It is important to accurately evaluate these vascular anomalies for surgicalplanning. The aim of this study was to evaluate anatomical vascular abnormalities of bilateral iliac arteries/veins withuse of volume-rendering images on MDCT.MATERIAL AND METHODS: Twenty patients received bilateral iliac venography initially via femoral puncture.After the venographic examination, a 5-F vascular sheath in femoral vein and 4-F catheter in contralateral femoralvein were retained in vessels and the patients immediately underwent contrast-enhanced CT scan on a 64-MDCT unitand injection of contrast medium via the 5-F vascular sheath and 4-F catheter simultaneously. Volume-renderingimages were made by one radiologist who conducted the prior iliac venography. The surgical findings werecompared.RESULTS: All these 20 patients received surgery. Comparison of surgical findings with the volume-rendering imagesshowed good correlation.CONCLUSION: Intravenous femoral catheterization for MDCT enables to demonstrate the anatomical vascularabnormalities in the pelvis in those patients with chronic unilateral/bilateral lower extremities edema.",
author = "Po-Yen Chang and Hsu, {Wen Hsien} and Wilson Lao and JerryChinWei Chien and Yao, {Min Szu} and Chia-Yuen Chen and Chan, {Wing P.}",
year = "2009",
month = "3",
language = "English",

}

TY - CONF

T1 - Innovative MDCT Using Intravenous Femoral Catheterization in Evaluation of Patients with Chronic Lower Extremity Edema

AU - Chang, Po-Yen

AU - Hsu, Wen Hsien

AU - Lao, Wilson

AU - Chien, JerryChinWei

AU - Yao, Min Szu

AU - Chen, Chia-Yuen

AU - Chan, Wing P.

PY - 2009/3

Y1 - 2009/3

N2 - PURPOSE: Patients with chronic unilateral/bilateral lower extremity edema usually have some kinds of anatomicalvascular abnormalities in the pelvis. It is important to accurately evaluate these vascular anomalies for surgicalplanning. The aim of this study was to evaluate anatomical vascular abnormalities of bilateral iliac arteries/veins withuse of volume-rendering images on MDCT.MATERIAL AND METHODS: Twenty patients received bilateral iliac venography initially via femoral puncture.After the venographic examination, a 5-F vascular sheath in femoral vein and 4-F catheter in contralateral femoralvein were retained in vessels and the patients immediately underwent contrast-enhanced CT scan on a 64-MDCT unitand injection of contrast medium via the 5-F vascular sheath and 4-F catheter simultaneously. Volume-renderingimages were made by one radiologist who conducted the prior iliac venography. The surgical findings werecompared.RESULTS: All these 20 patients received surgery. Comparison of surgical findings with the volume-rendering imagesshowed good correlation.CONCLUSION: Intravenous femoral catheterization for MDCT enables to demonstrate the anatomical vascularabnormalities in the pelvis in those patients with chronic unilateral/bilateral lower extremities edema.

AB - PURPOSE: Patients with chronic unilateral/bilateral lower extremity edema usually have some kinds of anatomicalvascular abnormalities in the pelvis. It is important to accurately evaluate these vascular anomalies for surgicalplanning. The aim of this study was to evaluate anatomical vascular abnormalities of bilateral iliac arteries/veins withuse of volume-rendering images on MDCT.MATERIAL AND METHODS: Twenty patients received bilateral iliac venography initially via femoral puncture.After the venographic examination, a 5-F vascular sheath in femoral vein and 4-F catheter in contralateral femoralvein were retained in vessels and the patients immediately underwent contrast-enhanced CT scan on a 64-MDCT unitand injection of contrast medium via the 5-F vascular sheath and 4-F catheter simultaneously. Volume-renderingimages were made by one radiologist who conducted the prior iliac venography. The surgical findings werecompared.RESULTS: All these 20 patients received surgery. Comparison of surgical findings with the volume-rendering imagesshowed good correlation.CONCLUSION: Intravenous femoral catheterization for MDCT enables to demonstrate the anatomical vascularabnormalities in the pelvis in those patients with chronic unilateral/bilateral lower extremities edema.

M3 - Paper

ER -