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References 10:30 a.m.-12:00 p.m. l. Mallouhi A, Schocke M, Judmaier et al. 3D MR an- giography of renal arteries: Comparison of volume rendering an...

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References

10:30 a.m.-12:00 p.m.

l. Mallouhi A, Schocke M, Judmaier et al. 3D MR an-

giography of renal arteries: Comparison of volume rendering and maximum intensity projection algorithms. Radiology 2002;223:509-516

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2. Israel G. Lee V, Edye 1VI et a l. Comprehensive MR imaging in the preoperative evaluation of living donor candidates for laparoscopic nephrectomy: Initial experience. Radiology 2002;225:427-432 3. Kawamoto S, Montgomery R, Lawler L et al. Multidetector cr angiography for preoperative evaluation of living laparoscopic kidney donors. AJR 2003; 180: 1633-1638 4. Hussain S, Kock M, Ijzermans et al. MR imaging: A "one-stop-shop" modality for preoperative evaluation of potential living kidney donors. Radiographics 2003;23:505-520 5. Willman ] , Wildermuth S, Pfammatter et al. Aorroiliac and renal arteries: Prospective intraindividual comparison of contrast-enhanced three-dimensional MR angiography and multi-detector row cr angiography. Radiology 2003;226:798-811 6. Van Hoe L, De Jaegere T, Bosmans H. Breath-hold contrast-enhanced three-dimensional MR angiography of the abdomen: Time resolved imaging versus single-phase imaging. Radiology 2000;214:149-156 7. N Rofsky and M Adelman. MR angiography in the eva luation of atherosclerotic peripheral vascular disease. Radiology 2000;214:325-338 8. Earls], DeSena Sa nd Bluemke D. Gadolinium-enhanced three-dimensional MR angiography of the entire aOl1a and iliac arteries with dynamic manual table translation. Radiology 1998;209:844-849 9. Rydberg], Kopecky KK, Shalhav Al e( al. Evaluation of Prospective Living Renal Donors for Laparoscopic Nephrectomy with Multisection CT: The Marriage of Minimally Invasive Imaging with Minimally Invasive Surgery. RadioGraphics 2001 ;2 1:223S-236S 10. Berg M, Maninen H, Vanninen el al. Assessment of renal artery stenosis with cr angiography: usefulness of multiplanar reformation, quantitative stenosis measurements, and densitometric analysis of renal parenchymal enhancement as adjuncts to MIP film reading. ]CAT 1998;22:533-540

8:46 a.m. CTA of the Aorta and Lower Extremities GeoffelY Rubin, MD Stanford University School of Medicine Stanford, CA

9:09 a.m. MRA of the Aorta and Lower Extremities Martin R. Prince, MD, PhD Camel! Medical University New York, NY

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iVloderator: Rodney D. Raabe, MD

Objectives: l. Distinguish trends in percutaneous vein ablatio n.

2. Examine strategies for clinical assessment of patients with vein insufficiency. 3. Describe available devices and ancillary techniques_ 10:30 a.m. Welcome Brian F. Stainken, MD Roger Williams Medical Center Providence, RI 10:35 a.m. Office Based Workup Neil M. Khilnani, MD Cornel! Vascular New York, NY History A directed problem specific patient history is obtained to understand the nature of the problems that e ncouraged the patient to seek a medical opinion or treatment. A standard medical history is supplemented with specific questions for patients with varicose and spider veins: 1. The presence of associated symptoms. Symptoms which are typically associated with varicose veins include pruritis, leg pain or heaviness, pal1icularly al the end of a day after prolonged standing, leg fatigue , restless or night cramps. One should quely abo ul the presence a history of any skin changes as well.

2. Previous treatments which the patient has undergone including surgery, endovenous and sclerotherapy. The response to each of these treatment and any complications should be speCifically addressed. The use of graduated support stockings, their effect on symptoms and how the patients tolerated this intervention should also be discussed with the patient. 3. Whether the patient has had any superfiCial or deep venous thrombosis is also an important pan of the history; this may help identify a patient with varicose veins secondary to deep vein occlusion or a patient with a hyper-coagulability syndrome. 4. Hormone medications or periods of hormonal flux , including the perimenopausal period can predispose to pigmentation following Sclerotherapy and shou ld be asked about 5. Concomitant disease may predispose some patients to complication or failure. These include peripheral arterial disease which can preclude the use of graduated compression hose.

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