Use and limitations of magnetic resonance phase-contrast assessment of coronary flow reserve in a model of collateral dependence.

Full Abstract

Phase-contrast magnetic resonance imaging (PC-MRI) is useful for assessing coronary artery flow reserves (CFR) in man and acute animal models with intermediate coronary lesions. The present study examines the use of PC-MRI for assessing CFR in a model with critical stenosis and collateral dependence. PC-MRI quantitative flow measurements from the proximal left anterior descending (LAD) and left circumflex (LCX) coronary arteries were compared with myocardial tissue perfusion reserve measurements (microsphere techniques) after placement of a 2.25-mm ameroid constrictor on the proximal LCX in a porcine model; measurements were obtained at implantation (n = 4) and at 3 to 4 weeks (n = 4) and 6 weeks (n = 5) postimplantation. CFR is defined as the ratio of maximal hyperemic flow to baseline flow. Hyperemia was induced using intravenous adenosine (140 mg/kg/min). Collateral dependence in the LCX distri bution was evidenced by angiographic findings of critical stenosis with minimal myocardial histological changes and normal baseline myocardial perfusion (microsphere techniques). In this setting, PC-MRI CFR was correlated with microsphere measures of perfusion reserve. Collateral dependence was confirmed by Evan's blue dye injection. This study provides angiographic, myocardial perfusion, and histological correlates associated with PC-MRI epicardial CFR changes during chronic, progressive coronary artery constriction. It also demonstrates the disparity between epicardial and myocardial measures of coronary flow reserve with collateral dependence and the caveats for PC-MRI use in models of progressive coronary constriction.

Author information

Author/s: Malik, Jamil A (JA); Rubal, Bernard J (BJ); Clarke, Geoffrey D (GD); Dick, Edward J (EJ); Ward, John A (JA); Harris, Richard A (RA);

Affiliation: BrookeArmy Medical Center, Fort Sam Houston, Texas 78234, USA.

Journal and publication information

Publication Type: Comparative Study; Journal Article; Research Support, Non-U.S. Gov't

Journal: Comparative medicine (Comp Med), published in United States. (Language: eng)

Reference: 2005-Aug; vol 55 (issue 4) : pp 317-25

Dates: Created 2005/09/14; Completed 2006/09/19; Revised 2006/11/15;

PMID: 16158907, status: MEDLINE (last retrieval date: 2/18/2009, IMS Date: )

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