and Marco Rengo1
(1)
Department of Radiological Sciences, Oncology and Pathology, Sapienza University of Rome-Polo Pontino, Latina, Italy
(2)
Department of Radiology and Radiological Sciences, Medical University of South Carolina, Charleston, SC, USA
Implantable Cardioverter Defibrillator
ICD: device is able to recognize ventricular arrhythmias and deliver a shock to normalize cardiac pace.
Patient at risk of sudden death.
Absolute contraindication to MR.
Inferior Vena Cava Filter
Indications: (1) anticoagulation contraindicated; (2) anticoagulation failure; (3) prophylaxis in high-risk patients.
Inflammatory Aortic Aneurysm
Characterized by the presence of perianeurysmal fibrosis and a thickened aortic wall.
Represent 5–10 % of all abdominal aortic aneurysms; ascending aorta and aortic arch involvement is much less common, and when present there is a concomitant abdominal aortic aneurysm.
Retroperitoneal extension of the inflammatory process is seen in one-third of affected patients, and it is responsible of secondary ureteral involvement with resultant hydronephrosis, aortic–sigmoid colon fistula with bleeding, and secondary bacterial infection.
CT: (1) hypoattenuating mass with periaortic wall thickening that spares the posterior wall; (2) post-contrast enhancement of the soft-tissue component.
MR: may detect periaortic inflammation, adventitial fibrosis, and turbulence in intraluminal flow.
FDG–PET: identifies the extent of inflammation.
Interventricular Septum Movement
Abnormal movement in RV volume and pressure overload and in case of abnormal electrical activity.
Major causes of RV volume overload: (1) severe tricuspid or pulmonary regurgitation; (2) severe left-to-right shunt.
Major causes of RV pressure overload: (1) severe pulmonary hypertension; (2) pulmonary stenosis.
Systolic septal flattening/bouncing: RV pressure overload (RVOT obstruction, pulmonary hypertension).
Early diastolic septal flattening: increased RV filling pressure, but still not pressure overload.
Inspiratory septal bowing during early diastole: constrictive pericarditis.
D-shape: RV overload (left-to-right shunt, tricuspid, or pulmonary regurgitation).
Paradoxical septal movement: abnormal electrical activity (LBBB).