MR Imaging Assessment of Changes in Renal Function with Renal Artery Stent Placement in Swine

Jonathan K. Park, Thomas K. Rhee, Ty A. Cashen, Wanyong Shin, Scott A. Resnick, James A. Gehl, Brian E. Schirf, Dingxin Wang, Andrew Christian Larson, Timothy J Carroll, Reed A. Omary*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

6 Scopus citations

Abstract

Purpose: To prospectively test the hypothesis that magnetic resonance (MR) imaging can detect changes in renal function at the time of renal artery stent placement in a swine model of renal artery stenosis (RAS). Materials and Methods: In this animal care and use committee-approved study, hemodynamically significant (>50%) RAS was surgically induced in six pigs. MR imaging was employed for assessment of the anatomic and physiologic changes induced by fluoroscopically guided stent placement. With MR imaging, we assessed changes in renal blood flow (RBF), extraction fraction (EF), and single-kidney glomerular filtration rate (skGFR) during the procedure. Arterial diameter stenosis before and after stent placement was assessed with x-ray digital subtraction angiography (DSA). Mean changes in functional and anatomic parameters were compared with the Wilcoxon matched-pairs test, with an α level of 0.05. Results: There was no significant change in mean RBF after stent deployment (P = .44). Mean EF increased from 0.19 ± 0.08 before stent placement to 0.31 ± 0.17 after stent placement (P = .16). Mean skGFR measurements were 25 mL/min ± 16 before stent placement and 41 mL/min ± 28 after stent placement (P < .05). According to x-ray DSA measurements, mean stenosis measurements were 60% ± 12% before stent placement and 24% ± 16% after stent placement (P < .02). Conclusions: In swine, MR imaging can detect immediate changes in renal function after radiographically guided stent placement for unilateral RAS. This functional MR technique may have applications in the setting of hybrid MR/x-ray DSA procedure suites.

Original languageEnglish (US)
Pages (from-to)1409-1416
Number of pages8
JournalJournal of Vascular and Interventional Radiology
Volume18
Issue number11
DOIs
StatePublished - Nov 1 2007

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

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