Contrast fistulogram (FG) and distal pressure colostogram (DPCG) are standard diagnostic methods for the assessment of anorectal malformations. Pelvic magnetic resonance imaging (MRI) earned a place among essential diagnostic methods in preoperative investigations after the Currarino syndrome and a high incidence of associated spinal dysraphism were described. The aim of our study was to evaluate the possibility of substituting FG and DPCG by a modified pelvic MRI, e.g. MRI fistulogram (MRI-FG) and MRI colostogram (MRI-DPCG). The prospective study involved 29 patients with anorectal malformations who underwent a modified pelvic MRI. The length and course of fistulas and rectum, and the presence of sacral anomalies were studied on MRI images and compared with images obtained by radiologic examinations. Modified MRI brought identical results as contrast studies in 25 patients when related to the fistula and rectum length and course. MRI was more accurate for the detection of sacral anomalies. MRI-FG was the only imaging method used in the four most recent patients. The results support the assumption that conventional contrast examinations for the assessment of anorectal malformations can be replaced by MRI, thus reducing the radiation dose.

• MeSH
• anální kanál abnormality   patologie   MeSH
• celková anestezie MeSH
• kojenec MeSH
• kolostomie MeSH
• kontrastní látky aplikace a dávkování   MeSH
• křížová kost abnormality   MeSH
• lidé MeSH
• magnetická rezonanční tomografie metody   MeSH
• mnohočetné abnormality MeSH
• močové píštěle vrozené   diagnóza   chirurgie   MeSH
• nemoci anu vrozené   diagnóza   chirurgie   MeSH
• nemoci močové trubice vrozené   diagnóza   chirurgie   MeSH
• nemoci močového měchýře vrozené   diagnóza   chirurgie   MeSH
• nemoci nedonošenců diagnóza   chirurgie   MeSH
• novorozenec nedonošený MeSH
• novorozenec s nízkou porodní hmotností MeSH
• novorozenec MeSH
• perineum patologie   MeSH
• předoperační péče metody   MeSH
• prospektivní studie MeSH
• rektální píštěl vrozené   diagnóza   chirurgie   MeSH
• rektovaginální píštěl vrozené   diagnóza   chirurgie   MeSH
• rektum abnormality   patologie   MeSH
• spina bifida diagnóza   patologie   MeSH
• střevní píštěle vrozené   diagnóza   chirurgie   MeSH
• Check Tag
• kojenec MeSH
• lidé MeSH
• mužské pohlaví MeSH
• novorozenec MeSH
• ženské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH
• klinické zkoušky MeSH
• práce podpořená grantem MeSH

BACKROUND: The use of arteriovenous graft is indicated in patients if the subcutaneous venous bed is exhausted or unsuitable for arteriovenous fistula creation. The leading cause of failure of a prosthetic arteriovenous hemodialysis-access graft is venous anastomotic stenosis causing thrombosis of the graft. A number of surgical techniques and endovascular tools have been used to treat this stenosis and thrombosis. None have yet proven to be ideal. This study was designed to evaluate the results of hybrid treatment of arteriovenous graft thrombosis associated with venous anastomotic stenosis. METHODS: Over the period 2013-2014, we treated 16 AVG occlusions. Immediately after the diagnosis of occlusion was made, the patients underwent thrombectomy using a Fogarty catheter. After thrombectomy, a diagnostic fistulogram was performed and if VAG stenosis was confirmed, it was treated with balloon angioplasty and stent graft introduction. Lesions were dilated to reduce the stenosis in the treated area to less than 25%. RESULTS: Primary patency after 12 months was 32.8%. Primary assisted patency was 44.7%, secondary patency was 47.6%. Restenosis of the stent graft was seen in two patients. Recurring AVG occlusion was observed in four patients. The average number of interventions to maintain AVG patency was 1.18 per patient/1 year of dialysis. CONCLUSION: Treatment of AVG thrombosis due to VAG stenosis by hybrid procedure proved to be effective and improved secondary patency.

• MeSH
• cévní přístupy škodlivé účinky   MeSH
• dialýza ledvin * MeSH
• lidé MeSH
• magnetická rezonanční angiografie MeSH
• okluze cévního štěpu chirurgie   MeSH
• přežívání štěpu MeSH
• průchodnost cév MeSH
• stenty MeSH
• trombektomie metody   MeSH
• trombóza chirurgie   MeSH
• Check Tag
• lidé MeSH
• Publikační typ
• časopisecké články MeSH
• práce podpořená grantem MeSH