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HSS Journal

, Volume 6, Issue 2, pp 214–218 | Cite as

Traumatic Lateral Plantar Artery Pseudoaneurysm and the Use of Time-Resolved MR Angiography

  • Akira M. MurakamiEmail author
  • Anthony Chang
  • Li Foong Foo
Radiology & Imaging Corner

Abstract

Vascular injury resulting in pseudoaneurysm formation in the plantar aspect of the foot is an uncommon injury after trauma. Such injuries are more often reported in the lateral plantar artery rather than the medial plantar artery, most likely because of its more superficial location. Traditional modalities in diagnosis have included ultrasound and digital subtraction angiography. We present a case of traumatic pseudoaneurysm of the lateral plantar artery following a foot laceration. Diagnosis was made by the use of high-resolution, time-resolved contrast-enhanced 3D magnetic resonance angiography, also referred to as “TRICKS” (time-resolved imaging of contrast kinetics). This technique provided high spatial resolution for the arterial anatomy as well as temporal resolution which allowed better delineation of the hemodynamic characteristics of the pseudoaneurysm.

Keywords

magnetic resonance angiography time-resolved imaging of contrast kinetics TRICKS plantar artery pseudoaneurysm 

Supplementary material

11420_2010_9170_MOESM1_ESM.mpg (438 kb)
Animation 1 The temporal resolution of time-resolved contrast-enhanced 3D MR angiography (TRICKS)—the dynamic phases of contrast enhancement are displayed in continuity. Note the rapid contrast filling of the lateral plantar artery pseudoaneurysm and the delayed washout of the lesion, after venous and soft tissue enhancement is seen. (MPG 438 kb)
11420_2010_9170_MOESM2_ESM.mpg (438 kb)
Animation 2 TRICKS MR angiography at 2 months follow-up demonstrates diminished flow within the lateral plantar artery and the complete lack of contrast filling of the pseudoaneurysm, indicating complete thrombosis. (i) Anterior tibial artery, (ii) posterior tibial artery, (iii) medial plantar artery, (iv) lateral plantar artery, and (v) distal fibular arteries. (MPG 438 kb)

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Copyright information

© Hospital for Special Surgery 2010

Authors and Affiliations

  • Akira M. Murakami
    • 1
    Email author
  • Anthony Chang
    • 1
  • Li Foong Foo
    • 1
  1. 1.Department of Radiology and ImagingHospital for Special SurgeryNew YorkUSA

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