myRadiologist

MRA abdomen/pelvis/runoff


Strengths
very good study for chronic PVD and non-contrast options exist. Equal or better than CTA.
Limitations
CTA for endograft evaluation and in some patients with suspected embolism or acute symtpoms which might be due to thrombosis.
Contraindications
1) Standard MR questionaire as to contraindicated implanted devices, surgery, etc.; 2) Gadolinium will be dose-adjusted dependent upon creatinine clearance. It will not be given with CrCl <30 due to risk of NSF.
CPT Code
74185(abd) / 72198(pelvis) / 73725 (unilateral runoff) / 73725-50 (bilateral)
Exact format for order to be authorized
MRA abdominal aorta/runoff; with and without gadolinium
Patient Preparation
None.