+ 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

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

Related references

Extended use of computed tomography in the management of complex aortic problems. Journal of Vascular Surgery 5(4): 657-658, 1987

Advantages of extended brain perfusion computed tomography: 9.6 cm coverage with time resolved computed tomography-angiography in comparison to standard stroke-computed tomography. Investigative Radiology 45(7): 363-369, 2010

Aortic root abscess: multimodality imaging with computed tomography and gallium-67 citrate single-photon emission computed tomography/computed tomography hybrid imaging. Journal of Cardiovascular Computed Tomography 5(2): 122-124, 2011

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. Journal of the American College of Cardiology 59(2): 119-127, 2012

Non-contrast computed tomography is comparable to contrast-enhanced computed tomography for aortic volume analysis after endovascular abdominal aortic aneurysm repair. European Journal of Vascular and Endovascular Surgery 41(4): 460-466, 2011

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, 2009

The prevalence and significance of thoracic findings in patients undergoing extended coverage computed tomography for assessment of abdominal aortic aneurysms. British Journal of Radiology 89(1062): 20150723-20150723, 2016

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, 1984

Problems and pitfalls in the evaluation of thoracic aortic dissection by computed tomography. Journal of Computer Assisted Tomography 6(4): 750-756, 1982

Clinical effectiveness of (18)f-fluorodeoxyglucose positron emission tomography/computed tomography in management of renal cell carcinoma: a single institution experience. World Journal of Nuclear Medicine 14(1): 36-40, 2015