Magnetic resonance imaging in the diagnosis of the outcomes of brachiocephalic artery dissection
T. A. Lesnykh,
M. V. Dreval’,
M. S. Danilova,
M. A. Kravchenko,
L. А. Kalashnikova,
A. O. Chechetkin,
L. A. Dobrynina,
M. V. Krotenkova https://doi.org/10.22328/2079-5343-2021-12-2-92-97
Abstract
Introduction. Vessel wall imaging in patients with dissection plays an impotent role in the differential diagnosis of stenoocclusive processes of the main arteries of the head. However, the interpretation of changes in long-term periods remains difficulties.
Purpose: to determine and compare the imaging patterns of the consequences of the postponed dissection using MRI and ultrasound.
Materials and methods. 30 patients with confirmed dissection were examined for more than 1 year from the date of diagnosis. MRI was performed using vessel wall protocol imaging before and after contrast enhancement.
Results. Postpone dissection imaging patterns were revealed: aneurysmal dilation of the artery (27%) and double lumen (20%) at the site of dissection; prolonged stenosis in 10% of cases, intimal flap — in 3% of cases. Occlusion persisted in 40% of cases.
Conclusion. The use of MRI can improve the differential diagnosis of the causes of the stenоocclusive process of the main arteries of the head.
About the Authors
T. A. Lesnykh
Research Center of Neurology
Russian Federation
Russian Federation
Tatiana A. Lesnykh
Moscow
M. V. Dreval’
Research Center of Neurology
Russian Federation
Russian Federation
Marina V. Dreval’
Moscow
M. S. Danilova
Research Center of Neurology
Russian Federation
Russian Federation
Maria S. Danilova
Moscow
M. A. Kravchenko
Research Center of Neurology
Russian Federation
Russian Federation
Mikhail A. Kravchenko
Moscow
L. А. Kalashnikova
Research Center of Neurology
Russian Federation
Russian Federation
Lyudmila А. Kalashnikova
Moscow
A. O. Chechetkin
Research Center of Neurology
Russian Federation
Russian Federation
Andrey O. Chechetkin
Moscow
L. A. Dobrynina
Research Center of Neurology
Russian Federation
Russian Federation
Larisa A. Dobrynina
Moscow
M. V. Krotenkova
Research Center of Neurology
Russian Federation
Russian Federation
Marina V. Krotenkova
Moscow
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Review
For citations:
Lesnykh T.A., Dreval’ M.V., Danilova M.S., Kravchenko M.A., Kalashnikova L.А., Chechetkin A.O., Dobrynina L.A., Krotenkova M.V. Magnetic resonance imaging in the diagnosis of the outcomes of brachiocephalic artery dissection. Diagnostic radiology and radiotherapy. 2021;12(2):92-97. (In Russ.) https://doi.org/10.22328/2079-5343-2021-12-2-92-97
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