European Radiology

, Volume 18, Issue 4, pp 645–657 | Cite as

MR-guided endovascular interventions: a comprehensive review on techniques and applications

  • Sebastian KosEmail author
  • Rolf Huegli
  • Georg M. Bongartz
  • Augustinus L. Jacob
  • Deniz Bilecen


The magnetic resonance (MR) guidance of endovascular interventions is probably one of the greatest challenges of clinical MR research. MR angiography is not only an imaging tool for the vasculature but can also simultaneously depict high tissue contrast, including the differentiation of the vascular wall and perivascular tissues, as well as vascular function. Several hurdles had to be overcome to allow MR guidance for endovascular interventions. MR hardware and sequence design had to be developed to achieve acceptable patient access and to allow real-time or near real-time imaging. The development of interventional devices, both applicable and safe for MR imaging (MRI), was also mandatory. The subject of this review is to summarize the latest developments in real-time MRI hardware, MRI, visualization tools, interventional devices, endovascular tracking techniques, actual applications and safety issues.


Device tracking Endovascular intervention MR angiography Real-time MRI 


  1. 1.
    Rhee TK, Larson AC, Prasad PV, Santos E, Sato KT, Salem R, Deng J, Paunesku T, Woloschak GE, Mulcahy MF, Li D, Omary RA (2005) Feasibility of blood oxygenation level-dependent MR imaging to monitor hepatic transcatheter arterial embolization in rabbits. J Vasc Interv Radiol 16:1523–1528PubMedGoogle Scholar
  2. 2.
    Wacker FK (2004) [Interventionel MRT: current inventory and preview]. Rofo 176:941–943PubMedGoogle Scholar
  3. 3.
    Ozturk C, Guttman M, McVeigh ER, Lederman RJ (2005) Magnetic resonance imaging-guided vascular interventions. Top Magn Reson Imaging 16:369–381PubMedCrossRefGoogle Scholar
  4. 4.
    Wacker FK, Hillenbrand CM, Duerk JL, Lewin JS (2005) MR-guided endovascular interventions: device visualization, tracking, navigation, clinical applications, and safety aspects. Magn Reson Imaging Clin N Am 13:431–439PubMedCrossRefGoogle Scholar
  5. 5.
    Schulz T, Puccini S, Schneider JP, Kahn T (2004) Interventional and intraoperative MR: review and update of techniques and clinical experience. Eur Radiol 14:2212–2227PubMedCrossRefGoogle Scholar
  6. 6.
    Smits HF, Bos C, van der Weide R, Bakker CJ (1999) Interventional MR: vascular applications. Eur Radiol 9:1488–1495PubMedCrossRefGoogle Scholar
  7. 7.
    Wacker FK, Bock M (2007) [Magnetic resonance imaging-guided endovascular interventions]. Rofo 179:355–364PubMedGoogle Scholar
  8. 8.
    Shellock FG, Crues JV (2004) MR procedures: biologic effects, safety, and patient care. Radiology 232:635–652PubMedCrossRefGoogle Scholar
  9. 9.
    Silverman SG, Tuncali K, Morrison PR (2005) MR imaging-guided percutaneous tumor ablation. Acad Radiol 12:1100–1109PubMedCrossRefGoogle Scholar
  10. 10.
    Wacker FK, Hillenbrand C, Elgort DR, Zhang S, Duerk JL, Lewin JS (2005) MR imaging-guided percutaneous angioplasty and stent placement in a swine model comparison of open- and closed-bore scanners. Acad Radiol 12:1085–1088PubMedCrossRefGoogle Scholar
  11. 11.
    Buecker A, Spuentrup E, Schmitz-Rode T, Kinzel S, Pfeffer J, Hohl C, van Vaals JJ, Gunther RW (2004) Use of a nonmetallic guide wire for magnetic resonance-guided coronary artery catheterization. Invest Radiol 39:656–660PubMedCrossRefGoogle Scholar
  12. 12.
    Razavi R, Hill DL, Keevil SF, Miquel ME, Muthurangu V, Hegde S, Rhode K, Barnett M, van Vaals J, Hawkes DJ, Baker E (2003) Cardiac catheterisation guided by MRI in children and adults with congenital heart disease. Lancet 362:1877–1882PubMedCrossRefGoogle Scholar
  13. 13.
    Dick AJ, Raman VK, Raval AN, Guttman MA, Thompson RB, Ozturk C, Peters DC, Stine AM, Wright VJ, Schenke WH, Lederman RJ (2005) Invasive human magnetic resonance imaging: feasibility during revascularization in a combined XMR suite. Catheter Cardiovasc Interv 64:265–274PubMedCrossRefGoogle Scholar
  14. 14.
    Vogl TJ, Balzer JO, Mack MG, Bett G, Oppelt A (2002) Hybrid MR interventional imaging system: combined MR and angiography suites with single interactive table. Feasibility study in vascular liver tumor procedures. Eur Radiol 12:1394–1400PubMedCrossRefGoogle Scholar
  15. 15.
    Fahrig R, Butts K, Rowlands JA, Saunders R, Stanton J, Stevens GM, Daniel BL, Wen Z, Ergun DL, Pelc NJ (2001) A truly hybrid interventional MR/X-ray system: feasibility demonstration. J Magn Reson Imaging 13:294–300PubMedCrossRefGoogle Scholar
  16. 16.
    Wildermuth S, Debatin JF, Leung DA, Dumoulin CL, Darrow RD, Uhlschmid G, Hofmann E, Thyregod J, von Schulthess GK (1997) MR imaging-guided intravascular procedures: initial demonstration in a pig model. Radiology 202:578–583PubMedGoogle Scholar
  17. 17.
    Huegli RW, Aschwanden M, Bongartz G, Jaeger K, Heidecker HG, Thalhammer C, Schulte AC, Hashagen C, Jacob AL, Bilecen D (2006) Intraarterial MR angiography and DSA in patients with peripheral arterial occlusive disease: prospective comparison. Radiology 239:901–908PubMedCrossRefGoogle Scholar
  18. 18.
    Huegli RW, Aschwanden M, Scheffler K, Bilecen D (2006) Fluoroscopic contrast-enhanced MR angiography with a magnetization-prepared steady-state free precession technique in peripheral arterial occlusive disease. AJR Am J Roentgenol 187:242–247PubMedCrossRefGoogle Scholar
  19. 19.
    Wyttenbach R, Gallino A, Alerci M, Mahler F, Cozzi L, Di Valentino M, Badimon JJ, Fuster V, Corti R (2004) Effects of percutaneous transluminal angioplasty and endovascular brachytherapy on vascular remodeling of human femoropopliteal artery by noninvasive magnetic resonance imaging. Circulation 110:1156–1161PubMedCrossRefGoogle Scholar
  20. 20.
    Bakker CJ, Hoogeveen RM, Hurtak WF, van Vaals JJ, Viergever MA, Mali WP (1997) MR-guided endovascular interventions: susceptibility-based catheter and near-real-time imaging technique. Radiology 202:273–276PubMedGoogle Scholar
  21. 21.
    Bock M, Muller S, Zuehlsdorff S, Speier P, Fink C, Hallscheidt P, Umathum R, Semmler W (2006) Active catheter tracking using parallel MRI and real-time image reconstruction. Magn Reson Med 55:1454–1459PubMedCrossRefGoogle Scholar
  22. 22.
    Zhang H, Maki JH, Prince MR (2007) 3D contrast-enhanced MR angiography. J Magn Reson Imaging 25:13–25PubMedCrossRefGoogle Scholar
  23. 23.
    Potthast S, Schulte AC, Bongartz GM, Hugli R, Aschwanden M, Bilecen D (2005) Low-dose intra-arterial contrast-enhanced MR aortography in patients based on a theoretically derived injection protocol. Eur Radiol 15:2347–2353PubMedCrossRefGoogle Scholar
  24. 24.
    Lin SP, Brown JJ (2007) MR contrast agents: physical and pharmacologic basics. J Magn Reson Imaging 25:884–899PubMedCrossRefGoogle Scholar
  25. 25.
    Maes RM, Lewin JS, Duerk JL, Wacker FK (2005) Combined use of the intravascular blood-pool agent, gadomer, and carbon dioxide: a novel type of double-contrast magnetic resonance angiography (MRA). J Magn Reson Imaging 21:645–649PubMedCrossRefGoogle Scholar
  26. 26.
    Goyen M, Shamsi K, Schoenberg SO (2006) Vasovist-enhanced MR angiography. Eur Radiol 16(Suppl 2):B9–14PubMedGoogle Scholar
  27. 27.
    Omary RA, Gehl JA, Schirf BE, Green JD, Lu B, Pereles FS, Huang J, Larson AC, Li D (2006) MR imaging- versus conventional X-ray fluoroscopy-guided renal angioplasty in swine: prospective randomized comparison. Radiology 238:489–496PubMedCrossRefGoogle Scholar
  28. 28.
    Duerk JL, Butts K, Hwang KP, Lewin JS (2000) Pulse sequences for interventional magnetic resonance imaging. Top Magn Reson Imaging 11:147–162PubMedCrossRefGoogle Scholar
  29. 29.
    Hennig J, Scheffler K, Laubenberger J, Strecker R (1997) Time-resolved projection angiography after bolus injection of contrast agent. Magn Reson Med 37:341–345PubMedCrossRefGoogle Scholar
  30. 30.
    Wang Y, Johnston DL, Breen JF, Huston J 3rd, Jack CR, Julsrud PR, Kiely MJ, King BF, Riederer SL, Ehman RL (1996) Dynamic MR digital subtraction angiography using contrast enhancement, fast data acquisition, and complex subtraction. Magn Reson Med 36:551–556PubMedCrossRefGoogle Scholar
  31. 31.
    Bos C, Bakker CJ, Viergever MA (2001) Background suppression using magnetization preparation for contrast-enhanced MR projection angiography. Magn Reson Med 46:78–87PubMedCrossRefGoogle Scholar
  32. 32.
    Quick HH, Kuehl H, Kaiser G, Hornscheidt D, Mikolajczyk KP, Aker S, Debatin JF, Ladd ME (2003) Interventional MRA using actively visualized catheters, TrueFISP, and real-time image fusion. Magn Reson Med 49:129–137PubMedCrossRefGoogle Scholar
  33. 33.
    Kaul MG, Stork A, Bansmann PM, Nolte-Ernsting C, Lund GK, Weber C, Adam G (2004) Evaluation of balanced steady-state free precession (TrueFISP) and K-space segmented gradient echo sequences for 3D coronary MR angiography with navigator gating at 3 Tesla. Rofo 176:1560–1565PubMedGoogle Scholar
  34. 34.
    Bieri O, Markl M, Scheffler K (2005) Analysis and compensation of eddy currents in balanced SSFP. Magn Reson Med 54:129–137PubMedCrossRefGoogle Scholar
  35. 35.
    Griswold MA, Jakob PM, Heidemann RM, Nittka M, Jellus V, Wang J, Kiefer B, Haase A (2002) Generalized autocalibrating partially parallel acquisitions (GRAPPA). Magn Reson Med 47:1202–1210PubMedCrossRefGoogle Scholar
  36. 36.
    van Vaals JJ, Brummer ME, Dixon WT, Tuithof HH, Engels H, Nelson RC, Gerety BM, Chezmar JL, den Boer JA (1993) “Keyhole” method for accelerating imaging of contrast agent uptake. J Magn Reson Imaging 3:671–675PubMedCrossRefGoogle Scholar
  37. 37.
    Potthast S, Bongartz GM, Huegli R, Schulte AC, Schwarz JG, Aschwanden M, Bilecen D (2007) Intraarterial contrast-enhanced MR aortography with and without parallel acquisition technique in patients with peripheral arterial occlusive disease. AJR Am J Roentgenol 188:823–829PubMedCrossRefGoogle Scholar
  38. 38.
    Araki T, Aoki S, Ishigame K, Kumagai H, Nanbu A, Hori M, Ueki J, Komiyama T, Araki T (2002) MR-guided intravascular catheter manipulation: feasibility of both active and passive tracking in experimental study and initial clinical applications. Radiat Med 20:1–8PubMedGoogle Scholar
  39. 39.
    Unal O, Li J, Cheng W, Yu H, Strother CM (2006) MR-visible coatings for endovascular device visualization. J Magn Reson Imaging 23:763–769PubMedCrossRefGoogle Scholar
  40. 40.
    Mekle R, Hofmann E, Scheffler K, Bilecen D (2006) A polymer-based MR-compatible guidewire: a study to explore new prospects for interventional peripheral magnetic resonance angiography (ipMRA). J Magn Reson Imaging 23:145–155PubMedCrossRefGoogle Scholar
  41. 41.
    Bakker CJ, Hoogeveen RM, Weber J, van Vaals JJ, Viergever MA, Mali WP (1996) Visualization of dedicated catheters using fast scanning techniques with potential for MR-guided vascular interventions. Magn Reson Med 36:816–820PubMedCrossRefGoogle Scholar
  42. 42.
    Bakker CJ, Bos C, Weinmann HJ (2001) Passive tracking of catheters and guidewires by contrast-enhanced MR fluoroscopy. Magn Reson Med 45:17–23PubMedCrossRefGoogle Scholar
  43. 43.
    Godart F, Beregi JP, Nicol L, Occelli B, Vincentelli A, Daanen V, Rey C, Rousseau J (2000) MR-guided balloon angioplasty of stenosed aorta: in vivo evaluation using near-standard instruments and a passive tracking technique. J Magn Reson Imaging 12:639–644PubMedCrossRefGoogle Scholar
  44. 44.
    Ladd ME, Quick HH, Debatin JF (2000) Interventional MRA and intravascular imaging. J Magn Reson Imaging 12:534–546PubMedCrossRefGoogle Scholar
  45. 45.
    Bakker CJ, Seppenwoolde JH, Bartels LW, van der Weide R (2004) Adaptive subtraction as an aid in MR-guided placement of catheters and guidewires. J Magn Reson Imaging 20:470–474PubMedCrossRefGoogle Scholar
  46. 46.
    Omary RA, Frayne R, Unal O, Warner T, Korosec FR, Mistretta CA, Strother CM, Grist TM (2000) MR-guided angioplasty of renal artery stenosis in a pig model: a feasibility study. J Vasc Interv Radiol 11:373–381PubMedCrossRefGoogle Scholar
  47. 47.
    Serfaty JM, Atalar E, Declerck J, Karmakar P, Quick HH, Shunk KA, Heldman AW, Yang X (2000) Real-time projection MR angiography: feasibility study. Radiology 217:290–295PubMedGoogle Scholar
  48. 48.
    Dumoulin CL, Souza SP, Darrow RD (1993) Real-time position monitoring of invasive devices using magnetic resonance. Magn Reson Med 29:411–415PubMedCrossRefGoogle Scholar
  49. 49.
    Flask C, Elgort D, Wong E, Shankaranarayanan A, Lewin J, Wendt M, Duerk JL (2001) A method for fast 3D tracking using tuned fiducial markers and a limited projection reconstruction FISP (LPR-FISP) sequence. J Magn Reson Imaging 14:617–627PubMedCrossRefGoogle Scholar
  50. 50.
    Burl M, Coutts GA, Young IR (1996) Tuned fiducial markers to identify body locations with minimal perturbation of tissue magnetization. Magn Reson Med 36:491–493PubMedCrossRefGoogle Scholar
  51. 51.
    Wendt M, Busch M, Wetzler R, Zhang Q, Melzer A, Wacker F, Duerk JL, Lewin JS (1998) Shifted rotated keyhole imaging and active tip-tracking for interventional procedure guidance. J Magn Reson Imaging 8:258–261PubMedCrossRefGoogle Scholar
  52. 52.
    Zuehlsdorff S, Umathum R, Volz S, Hallscheidt P, Fink C, Semmler W, Bock M (2004) MR coil design for simultaneous tip tracking and curvature delineation of a catheter. Magn Reson Med 52:214–218PubMedCrossRefGoogle Scholar
  53. 53.
    Weiss S, Kuehne T, Brinkert F, Krombach G, Katoh M, Schaeffter T, Guenther RW, Buecker A (2004) In vivo safe catheter visualization and slice tracking using an optically detunable resonant marker. Magn Reson Med 52:860–868PubMedCrossRefGoogle Scholar
  54. 54.
    Bock M, Volz S, Zuhlsdorff S, Umathum R, Fink C, Hallscheidt P, Semmler W (2004) MR-guided intravascular procedures: real-time parameter control and automated slice positioning with active tracking coils. J Magn Reson Imaging 19:580–589PubMedCrossRefGoogle Scholar
  55. 55.
    Elgort DR, Wong EY, Hillenbrand CM, Wacker FK, Lewin JS, Duerk JL (2003) Real-time catheter tracking and adaptive imaging. J Magn Reson Imaging 18:621–626PubMedCrossRefGoogle Scholar
  56. 56.
    Wacker FK, Elgort D, Hillenbrand CM, Duerk JL, Lewin JS (2004) The catheter-driven MRI scanner: a new approach to intravascular catheter tracking and imaging-parameter adjustment for interventional MRI. AJR Am J Roentgenol 183:391–395PubMedGoogle Scholar
  57. 57.
    Glowinski A, Adam G, Bucker A, Neuerburg J, van Vaals JJ, Gunther RW (1997) Catheter visualization using locally induced, actively controlled field inhomogeneities. Magn Reson Med 38:253–258PubMedCrossRefGoogle Scholar
  58. 58.
    Weiss S, Vernickel P, Schaeffter T, Schulz V, Gleich B (2005) Transmission line for improved RF safety of interventional devices. Magn Reson Med 54:182–189PubMedCrossRefGoogle Scholar
  59. 59.
    Ladd ME, Quick HH (2000) Reduction of resonant RF heating in intravascular catheters using coaxial chokes. Magn Reson Med 43:615–619PubMedCrossRefGoogle Scholar
  60. 60.
    Buecker A, Adam GB, Neuerburg JM, Kinzel S, Glowinski A, Schaeffter T, Rasche V, van Vaals JJ, Guenther RW (2002) Simultaneous real-time visualization of the catheter tip and vascular anatomy for MR-guided PTA of iliac arteries in an animal model. J Magn Reson Imaging 16:201–208PubMedCrossRefGoogle Scholar
  61. 61.
    Quick HH, Zenge MO, Kuehl H, Kaiser G, Aker S, Massing S, Bosk S, Ladd ME (2005) Interventional magnetic resonance angiography with no strings attached: wireless active catheter visualization. Magn Reson Med 53:446–455PubMedCrossRefGoogle Scholar
  62. 62.
    Wong EY, Zhang Q, Duerk JL, Lewin JS, Wendt M (2000) An optical system for wireless detuning of parallel resonant circuits. J Magn Reson Imaging 12:632–638PubMedCrossRefGoogle Scholar
  63. 63.
    Bock M, Umathum R, Sikora J, Brenner S, Aguor EN, Semmler W (2006) A Faraday effect position sensor for interventional magnetic resonance imaging. Phys Med Biol 51:999–1009PubMedCrossRefGoogle Scholar
  64. 64.
    Scheffler K, Korvink JG (2004) Navigation with Hall sensor device for interventional MRI. In: Proceedings of the 12th Annual Meeting of ISMRM, Kyoto,, 2004, p 950Google Scholar
  65. 65.
    Bakker CJ, Smits HF, Bos C, van der Weide R, Zuiderveld KJ, van Vaals JJ, Hurtak WF, Viergever MA, Mali WP (1998) MR-guided balloon angioplasty: in vitro demonstration of the potential of MRI for guiding, monitoring, and evaluating endovascular interventions. J Magn Reson Imaging 8:245–250PubMedCrossRefGoogle Scholar
  66. 66.
    Liu CY, Farahani K, Lu DS, Duckwiler G, Oppelt A (2000) Safety of MRI-guided endovascular guidewire applications. J Magn Reson Imaging 12:75–78PubMedCrossRefGoogle Scholar
  67. 67.
    Nitz WR, Oppelt A, Renz W, Manke C, Lenhart M, Link J (2001) On the heating of linear conductive structures as guide wires and catheters in interventional MRI. J Magn Reson Imaging 13:105–114PubMedCrossRefGoogle Scholar
  68. 68.
    Wildermuth S, Dumoulin CL, Pfammatter T, Maier SE, Hofmann E, Debatin JF (1998) MR-guided percutaneous angioplasty: assessment of tracking safety, catheter handling and functionality. Cardiovasc Intervent Radiol 21:404–410PubMedCrossRefGoogle Scholar
  69. 69.
    Manke C, Nitz WR, Lenhart M, Volk M, Geissler A, Djavidani B, Strotzer M, Kasprzak P, Feuerbach S, Link J (2000) [Stent angioplasty of pelvic artery stenosis with MRI control: initial clinical results]. Rofo 172:92–97PubMedGoogle Scholar
  70. 70.
    Thomsen HS (2006) Nephrogenic systemic fibrosis: a serious late adverse reaction to gadodiamide. Eur Radiol 16:2619–2621PubMedCrossRefGoogle Scholar
  71. 71.
    Rubin DL, Ratner AV, Young SW (1990) Magnetic susceptibility effects and their application in the development of new ferromagnetic catheters for magnetic resonance imaging. Invest Radiol 25:1325–1332PubMedCrossRefGoogle Scholar
  72. 72.
    Bucker A, Neuerburg JM, Adam G, Schurmann K, Rasche V, van Vaals JJ, Molgaard-Nielsen A, Gunther RW (1998) [Stent placement with real time MRI guidance: initial animal experiment experiences]. Rofo 169:655–657PubMedGoogle Scholar
  73. 73.
    Lardo AC, McVeigh ER, Jumrussirikul P, Berger RD, Calkins H, Lima J, Halperin HR (2000) Visualization and temporal/spatial characterization of cardiac radiofrequency ablation lesions using magnetic resonance imaging. Circulation 102:698–705PubMedGoogle Scholar
  74. 74.
    Wacker FK, Reither K, Ebert W, Wendt M, Lewin JS, Wolf KJ (2003) MR image-guided endovascular procedures with the ultrasmall superparamagnetic iron oxide SH U 555 C as an intravascular contrast agent: study in pigs. Radiology 226:459–464PubMedCrossRefGoogle Scholar
  75. 75.
    Eggebrecht H, Kuhl H, Kaiser GM, Aker S, Zenge MO, Stock F, Breuckmann F, Grabellus F, Ladd ME, Mehta RH, Erbel R, Quick HH (2006) Feasibility of real-time magnetic resonance-guided stent-graft placement in a swine model of descending aortic dissection. Eur Heart J 27:613–620PubMedCrossRefGoogle Scholar
  76. 76.
    Bucker A, Neuerburg JM, Adam G, Glowinski A, van Vaals JJ, Gunther RW (2003) [MR-guided coil embolisation of renal arteries in an animal model]. Rofo 175:271–274PubMedGoogle Scholar
  77. 77.
    Fink C, Bock M, Umathum R, Volz S, Zuehlsdorff S, Grobholz R, Kauczor HU, Hallscheidt P (2004) Renal embolization: feasibility of magnetic resonance-guidance using active catheter tracking and intraarterial magnetic resonance angiography. Invest Radiol 39:111–119PubMedCrossRefGoogle Scholar
  78. 78.
    Buecker A, Spuentrup E, Grabitz R, Freudenthal F, Muehler EG, Schaeffter T, van Vaals JJ, Gunther RW (2002) Magnetic resonance-guided placement of atrial septal closure device in animal model of patent foramen ovale. Circulation 106:511–515PubMedCrossRefGoogle Scholar
  79. 79.
    Spuentrup E, Ruebben A, Schaeffter T, Manning WJ, Gunther RW, Buecker A (2002) Magnetic resonance-guided coronary artery stent placement in a swine model. Circulation 105:874–879PubMedCrossRefGoogle Scholar
  80. 80.
    Serfaty JM, Yang X, Foo TK, Kumar A, Derbyshire A, Atalar E (2003) MRI-guided coronary catheterization and PTCA: a feasibility study on a dog model. Magn Reson Med 49:258–263PubMedCrossRefGoogle Scholar
  81. 81.
    Kee ST, Rhee JS, Butts K, Daniel B, Pauly J, Kerr A, O’Sullivan GJ, Sze DY, Razavi MK, Semba CP, Herfkens RJ, Dake MD (1999) 1999 Gary J. Becker Young Investigator Award. MR-guided transjugular portosystemic shunt placement in a swine model. J Vasc Interv Radiol 10:529–535PubMedCrossRefGoogle Scholar
  82. 82.
    Mahnken AH, Chalabi K, Jalali F, Gunther RW, Buecker A (2004) Magnetic resonance-guided placement of aortic stents grafts: feasibility with real-time magnetic resonance fluoroscopy. J Vasc Interv Radiol 15:189–195PubMedGoogle Scholar
  83. 83.
    Bucker A, Neuerburg JM, Adam GB, Glowinski A, Schaeffter T, Rasche V, van Vaals JJ, Gunther RW (2001) Real-time MR Guidance for inferior vena cava filter placement in an animal model. J Vasc Interv Radiol 12:753–756PubMedCrossRefGoogle Scholar
  84. 84.
    Kuehne T, Yilmaz S, Meinus C, Moore P, Saeed M, Weber O, Higgins CB, Blank T, Elsaesser E, Schnackenburg B, Ewert P, Lange PE, Nagel E (2004) Magnetic resonance imaging-guided transcatheter implantation of a prosthetic valve in aortic valve position: feasibility study in swine. J Am Coll Cardiol 44:2247–2249PubMedCrossRefGoogle Scholar
  85. 85.
    Paetzel C, Zorger N, Bachthaler M, Hamer OW, Stehr A, Feuerbach S, Lenhart M, Volk M, Herold T, Kasprzak P, Nitz WR (2005) Magnetic resonance-guided percutaneous angioplasty of femoral and popliteal artery stenoses using real-time imaging and intra-arterial contrast-enhanced magnetic resonance angiography. Invest Radiol 40:257–262PubMedCrossRefGoogle Scholar
  86. 86.
    Krombach GA, Baireuther R, Higgins CB, Saeed M (2004) Distribution of intramyocardially injected extracellular MR contrast medium: effects of concentration and volume. Eur Radiol 14:334–340PubMedCrossRefGoogle Scholar
  87. 87.
    Saeed M, Saloner D, Weber O, Martin A, Henk C, Higgins C (2005) MRI in guiding and assessing intramyocardial therapy. Eur Radiol 15:851–863PubMedCrossRefGoogle Scholar

Copyright information

© European Society of Radiology 2007

Authors and Affiliations

  • Sebastian Kos
    • 1
    Email author
  • Rolf Huegli
    • 2
  • Georg M. Bongartz
    • 3
  • Augustinus L. Jacob
    • 1
  • Deniz Bilecen
    • 1
  1. 1.Institute of Radiology, Division of Interventional RadiologyUniversity Hospital BaselBaselSwitzerland
  2. 2.Institute of Radiology, Kantonsspital BruderholzBruderholzSwitzerland
  3. 3.Institute of Radiology, University Hospital BaselBaselSwitzerland

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