I

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.


  • FDGPET: 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).


Intra-aortic Balloon Counterpulsation

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Mar 18, 2016 | Posted by in GASTROINTESTINAL IMAGING | Comments Off on I

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