Abdominal aortic aneurysm CT: Difference between revisions
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{{Template:Abdominal aortic aneurysm}} | {{Template:Abdominal aortic aneurysm}} | ||
{{CMG}}; '''Associate Editor-In-Chief:''' {{CZ}} | {{CMG}}; '''Associate Editor-In-Chief:''' {{CZ}} | ||
==Overview== | ==Overview== | ||
Although CT scanning provides detailed anatomic information and is valuable in planning abdominal aortic aneurysm repair, it is not used as a screening tool | Although [[CT]] scanning provides detailed anatomic information and is valuable in planning abdominal aortic aneurysm repair, it is not used as a screening tool because of the potential [[nephrotoxicity]] associated with the dye load, the cost, and the exposure to radiation. | ||
== Limitations | ==Limitations of CT Scanning== | ||
The limitations include: | |||
*Potential nephrotoxicity associated with the dye load | *Potential [[nephrotoxicity]] associated with the dye load | ||
*Cost | *Cost | ||
*Exposure to radiation | *Exposure to radiation | ||
*Suboptimal visualization of the origins of the aortic branch vessels | *Suboptimal visualization of the origins of the aortic branch vessels | ||
*Occasionally, inaccurate localization of the aneurysmal neck | *Occasionally, inaccurate localization of the aneurysmal neck<ref name="Ernst-1993">{{Cite journal | last1 = Ernst | first1 = CB. | title = Abdominal aortic aneurysm. | journal = N Engl J Med | volume = 328 | issue = 16 | pages = 1167-72 | month = Apr | year = 1993 | doi = 10.1056/NEJM199304223281607 | PMID = 8455684 }}</ref> | ||
==CT Examples== | ==CT Examples== | ||
[http://www.peir.net Image courtesy of Professor Peter Anderson DVM PhD and published with permission © PEIR, University of Alabama at Birmingham, Department of Pathology] | [http://www.peir.net Image courtesy of Professor Peter Anderson DVM PhD and published with permission © PEIR, University of Alabama at Birmingham, Department of Pathology]: | ||
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Copyleft image obtained courtesy of Radswiki: | |||
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==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
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[[CME Category::Cardiology]] | |||
[[Category:Disease]] | [[Category:Disease]] | ||
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[[Category:Surgery]] | [[Category:Surgery]] | ||
[[Category:Cardiology]] | [[Category:Cardiology]] | ||
[[Category:Up-To-Date cardiology]] | |||
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[[Category:Best pages]] |
Latest revision as of 18:23, 14 March 2016
Abdominal Aortic Aneurysm Microchapters |
Differentiating Abdominal Aortic Aneurysm from other Diseases |
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Diagnosis |
Treatment |
Case Studies |
Abdominal aortic aneurysm CT On the Web |
Directions to Hospitals Treating Abdominal aortic aneurysm CT |
Risk calculators and risk factors for Abdominal aortic aneurysm CT |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor-In-Chief: Cafer Zorkun, M.D., Ph.D. [2]
Overview
Although CT scanning provides detailed anatomic information and is valuable in planning abdominal aortic aneurysm repair, it is not used as a screening tool because of the potential nephrotoxicity associated with the dye load, the cost, and the exposure to radiation.
Limitations of CT Scanning
The limitations include:
- Potential nephrotoxicity associated with the dye load
- Cost
- Exposure to radiation
- Suboptimal visualization of the origins of the aortic branch vessels
- Occasionally, inaccurate localization of the aneurysmal neck[1]
CT Examples
Copyleft image obtained courtesy of Radswiki:
-
CT: a large abdominal aortic aneurysm
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CT: a large abdominal aortic aneurysm
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CT: a large abdominal aortic aneurysm
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Ruptured abdominal aortic aneurysm
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This patient presented with acute abdominal pain and hypotension. His non-contrast CT shows a large AAA and extensive periaortic haematoma. A thick (but subtle) hyperdense crescent is present within the aortic wall posteriorly and laterally which represents acute intramural hematoma, a sign of acute or impending rupture. (Image courtesy of Dr Donna D'Souza)