With use of an open 1.5-T magnetic resonance (MR) imager and a trackin
g catheter, the authors successfully placed the catheter into the left
or right sacral artery in pigs. The tracking catheter comprised a 5.3
-F percutaneous transluminal angioplasty catheter with a small copper
radio-frequency coil in its tip. With use of the coil as an antenna, t
he catheter tip position was projected in real time onto MR angiograph
y road maps in two planes. Guidance of placement of the catheter with
the MR angiography road maps allowed successful embolization, balloon
occlusion, and transjugular intrahepatic puncture of the portal system
. Specialized catheters can be tracked in vivo to allow MR guidance in
intravascular interventional procedures.