Meeting Banner
Abstract #0539

Utility of DCMRL in Guiding Interventions for Lymphatic Conditions in Patients with Congenital Heart Disease

Anusha Kodidhi1, Munes Fares1, Sheena Pimpalwar2, Suren Reddy1, Lasya Gaur1, and Tarique Hussain1
1Pediatric Cardiology, University of Texas Southwestern, Dallas, TX, United States, 2Radiology, University of Texas Southwestern, Dallas, TX, United States

Synopsis

Keywords: Cardiovascular, MR-Guided Interventions, Functional/Dynamic, Lymphatic Flow, Heart, Treatment

Motivation: Lymphatic disease is a major cause of morbidity and mortality in children with congenital heart disease.

Goal(s): This was a retrospective analysis of our six-year institutional experience with MR guided lymphatic intervention in patients with congenital heart disease (CHD).

Approach: The utility of non-contrast magnetic resonance (MR) lymphangiography and dynamic contrast enhanced magnetic resonance lymphangiography (DCMRL) in patients with CHD was reviewed with respect to interventional planning.

Results: Most patients had grade 3 or 4 lymphatic abnormality. Sixteen patients underwent thoracic duct occlusion and six underwent selective lymphatic collateral occlusion based on imaging findings. Lymphovenous connections were noted in sixteen patients.

Impact: Use of MR lymphatic imaging to identify lymphatic anatomy, flow characteristics, and lymphovenous connections allows for enhanced understanding of lymphatic pathophysiology and will improve accuracy in identifying targets for selective intervention in patients with congenital heart disease.

How to access this content:

For one year after publication, abstracts and videos are only open to registrants of this annual meeting. Registrants should use their existing login information. Non-registrant access can be purchased via the ISMRM E-Library.

After one year, current ISMRM & ISMRT members get free access to both the abstracts and videos. Non-members and non-registrants must purchase access via the ISMRM E-Library.

After two years, the meeting proceedings (abstracts) are opened to the public and require no login information. Videos remain behind password for access by members, registrants and E-Library customers.

Click here for more information on becoming a member.

Keywords