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CT angiography and 3D imaging in aortoiliac occlusive disease: collateral pathways in Leriche syndrome

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Abstract

Collateral pathways in aortoiliac occlusive disease are essential for arterial blood flow to the abdomen, pelvis, and lower extremities. These pathways can be broadly divided into systemic–systemic, visceral–visceral, and systemic–visceral collateral networks. MDCT angiography is the most commonly used modality for the diagnostic evaluation of patients with aortoiliac occlusive disease, allowing excellent evaluation of stenotic arterial segments, as well as beautifully illustrating resulting collateral pathways (particularly when utilizing 3D reconstruction techniques). This article seeks to familiarize radiologists with the most common patterns of aortoiliac occlusion and associated arterial collateral pathways utilizing CT angiography.

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Acknowledgement

Hannah Ahn, Medical Illustrator.

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Authors and Affiliations

  1. Department of Radiology, Johns Hopkins University, JHOC 3251, 601 N. Caroline Street, Baltimore, MD, 21287, USA

    Sameer Ahmed, Siva P. Raman & Elliot K. Fishman

Authors
  1. Sameer Ahmed
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  2. Siva P. Raman
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  3. Elliot K. Fishman
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Correspondence to Sameer Ahmed.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. For this type of study, formal consent is not required. This article does not contain any studies with animals performed by any of the authors.

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Statement of informed consent was not applicable since the manuscript does not contain any patient data.

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Ahmed, S., Raman, S.P. & Fishman, E.K. CT angiography and 3D imaging in aortoiliac occlusive disease: collateral pathways in Leriche syndrome. Abdom Radiol 42, 2346–2357 (2017). https://doi.org/10.1007/s00261-017-1137-0

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