+ Site Statistics
+ Search Articles
+ Subscribe to Site Feeds
EurekaMag Most Shared ContentMost Shared
EurekaMag PDF Full Text ContentPDF Full Text
+ PDF Full Text
Request PDF Full TextRequest PDF Full Text
+ Follow Us
Follow on FacebookFollow on Facebook
Follow on TwitterFollow on Twitter
Follow on Google+Follow on Google+
Follow on LinkedInFollow on LinkedIn

+ Translate

Extended use of computed tomography in the management of complex aortic problems a learning experience

, : Extended use of computed tomography in the management of complex aortic problems a learning experience. Journal of Vascular Surgery 4(3): 264-271

Eighty-nine patients with clinical problems arising from the thoracic or abdominal aorta had computed tomography (CT) scans with contrast enhancement in addition to standard aortograms. Forty-four patients had aneurysms, 22 had aortic graft complications, and 23 had aortoiliac occlusion. CT scanning provided diagnostic information not apparent by conventional angiography in 39 patients (43.8%). This additional information did not significantly alter the operative management in 13 patients (14.6%). The helpful information provided by CT in these patients included demonstration of gallstones, renal cysts, anomalous venous structures, horseshoe kidney, and femoral anastomotic aneurysms. However, in 26 of 89 patients (29%), the additional data obtained by CT significantly changed the timing or approach to operative management. Management was altered in 12 of 44 patients (28%) with aneurysms, 7 of 22 patients (32%) with aortic graft complications, and 7 of 23 patients (30%) with aortoiliac occlusive disease or suspected distal thromboembolism. Specific information provided by Ct included contained aortic aneurysm rupture, aortic dissection, laminated intraluminal thrombus or pseudointima, extent of perigraft infection, aortic atherosclerosis, anastomotic false aneurysm, and thrombus as a source of distal embolization. Thus, CT had a significant impact on operative management. It serves as a valuable adjunct to aortography in patients with complex aortic problems.

Accession: 005432693

PMID: 3747033

DOI: 10.1016/0741-5214(86)90196-5

Download PDF Full Text: Extended use of computed tomography in the management of complex aortic problems a learning experience

Submit PDF Full Text

No spam - Every submission is manually reviewed

Due to poor quality, we do not accept files from Researchgate

Submitted PDF Full Texts will always be free for everyone
(We only charge for PDFs that we need to acquire)

Select a PDF file:

Related references

Smith, D.C.; Jacobson, J.G., 1987: Extended use of computed tomography in the management of complex aortic problems. Journal of Vascular Surgery 5(4): 657-658

Morhard, D.; Wirth, C.D.; Fesl, G.; Schmidt, C.; Reiser, M.F.; Becker, C.R.; Ertl-Wagner, B., 2010: Advantages of extended brain perfusion computed tomography: 9.6 cm coverage with time resolved computed tomography-angiography in comparison to standard stroke-computed tomography. Recent technical developments have led to an extension of perfusion computed tomography (PCT) scan range to cover nearly the entire brain and to reconstruct time resolved (4d) CT-angiography (CTA) datasets from the PCT data. The purpose of this st...

McWilliams, E.T.; Yavari, A.; Raman, V., 2011: Aortic root abscess: multimodality imaging with computed tomography and gallium-67 citrate single-photon emission computed tomography/computed tomography hybrid imaging. Culture negative endocarditis and aortic root abscess can prove difficult diagnostic challenges. Computed tomography can be extremely useful in this setting. We report a case of an aortic root abscess 3 months after elective aortic valve replaceme...

Hamdan, A.; Guetta, V.; Konen, E.; Goitein, O.; Segev, A.; Raanani, E.; Spiegelstein, D.; Hay, I.; D.S.gni, E.; Eldar, M.; Schwammenthal, E., 2012: Deformation dynamics and mechanical properties of the aortic annulus by 4-dimensional computed tomography: insights into the functional anatomy of the aortic valve complex and implications for transcatheter aortic valve therapy. The purpose of this study was to assess deformation dynamics and in vivo mechanical properties of the aortic annulus throughout the cardiac cycle. Understanding dynamic aspects of functional aortic valve anatomy is important for beating-heart tran...

Nambi, P.; Sengupta, R.; Krajcer, Z.; Muthupillai, R.; Strickman, N.; Cheong, B.Y.C., 2011: Non-contrast computed tomography is comparable to contrast-enhanced computed tomography for aortic volume analysis after endovascular abdominal aortic aneurysm repair. To evaluate whether non-contrast computed tomography (NCCT) images are as reliable as contrast-enhanced computed tomography (CECT) images for the measurement of aortic volume (AV). A total of 316 pairs of AVs were retrospectively measured from 316...

Ziakas, A.G.; Koskinas, K.C.; Kalogera-Fountzila, A.; Parharidis, G., 2009: Images in cardio-thoracic surgery: Extended aortic dissection following percutaneous coronary intervention: angiographic and computed tomography findings. European Journal of Cardio-Thoracic Surgery 35(5): 911-911

Karkhanis, S.; Patil, S.; Hoey, E.Td.; Ganeshan, A., 2016: The prevalence and significance of thoracic findings in patients undergoing extended coverage computed tomography for assessment of abdominal aortic aneurysms. Many major vascular centres, including ours, incorporate coverage of the thoracic aorta in CT scans evaluating abdominal aortic aneurysms (AAAs) (extended coverage contrast-enhanced CT (EC-CECT) scan]. We sought to determine the prevalence of thor...

Su, C.T.; Hsu, C.Y.; Lee, Y.T.; Lien, W.P.; Wu, T.L.; Chu, S.H.; Hung, C.R., 1984: Dissecting aortic aneurysm diagnosed by computed tomography: experience of 37 cases. Taiwan Yi Xue Hui Za Zhi. Journal of the Formosan Medical Association 83(3): 256-267

Godwin, J.D.; Breiman, R.S.; Speckman, J.M., 1982: Problems and pitfalls in the evaluation of thoracic aortic dissection by computed tomography. Several conditions can lead to either false positive or false negative diagnoses of aortic dissection [in humans] by computed tomography (CT) with i.v. administration of contrast medium. Insufficient contrast enhancement may cause intimal flaps to...

Win, A.Zaw.; Aparici, C.Mari., 2015: Clinical effectiveness of (18)f-fluorodeoxyglucose positron emission tomography/computed tomography in management of renal cell carcinoma: a single institution experience. Positron emission tomography (PET) is currently the most advanced technique of metabolic imaging available for tumor diagnosis and follow-up. The aim of this study was to examine the versatility and accuracy of fluorodeoxyglucose (FDG) PET/compute...