Skip to main content

Aortic, Renal, and Carotid CT Angiography

  • Chapter
Cardiac CT Imaging

Summary

During the past decade, we have been witness to a tremendous development in the field of CT imaging. CTA has gained remarkably by improvements in scan time and image quality, replacing diagnostic angiography in many cases of peripheral, carotid, and renal angiography. These vascular beds do not suffer from motion artifacts, so imaging with CT is ideal. CTA is less expensive, less invasive, and allows simultaneous visualization of large anatomic areas from multiple angles using 3-D display. Nevertheless, along with exciting advances, MDCT also carries some emerging and important issues such as increased patient radiation exposure and continued exposure to iodinated contrast.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 139.00
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Rooholamini SA, Stanford W: Ultrafast computed tomography in the diagnosis of aortic aneurysms and dissections. In: Stanford W, Rumberger J (eds) Ultrafast computed tomography in cardiac imaging: principles and practice. Mount Kisco, NY: Futura Publishing, 1992:287–310.

    Google Scholar 

  2. Katz DS, Hon M. CT angiography of the lower extremities and aortoiliac system with a multi-detector row helical CT scanner: promise of new opportunities fulfilled. Radiology 2001;221:7–10.

    PubMed  CAS  Google Scholar 

  3. Kim JK, Park SY, Kim HJ, et al. Living donor kidneys: usefulness of multi-detector row CT for comprehensive evaluation. Radiology 2003;229:869–876.

    PubMed  Google Scholar 

  4. Fishman JE. Imaging of blunt aortic and great vessel trauma. J Thorac Imaging 2000;15(2):97–103.

    Article  PubMed  CAS  Google Scholar 

  5. Kouchoukos NT, Dougenis D. Surgery of the thoracic aorta. N Engl J Med 1997;336(26):1876–1888.

    Article  PubMed  CAS  Google Scholar 

  6. Rubin GD. Helical CT angiography of the thoracic aorta. J Thorac Imaging 1997;12(2):128–149.

    Article  PubMed  CAS  Google Scholar 

  7. Rubin GD, Shiau MC, Leung AN, Kee ST, Logan LJ, Sofilos MC. Aorta and iliac arteries: single versus multiple detector-row helical CT angiography. Radiology 2000;215(3):670–676.

    PubMed  CAS  Google Scholar 

  8. Gotway MB, Dawn SK. Thoracic aorta imaging with multislice CT. Radiol Clin North Am 2003;41:521–543.

    Article  PubMed  Google Scholar 

  9. Roos JE, Willmann JK, Weishaupt D, et al. Thoracic aorta: motion artifact reduction with retrospective and prospective electrocardiography assisted multi-detector row CT. Radiology 2002;222:271–277.

    PubMed  Google Scholar 

  10. Galla JD, Ergin MA, Lansman SL, et al. Identification of risk factors in patients undergoing thoracoabdominal aneurysm repair. J Cardiac Surg 1997;12:292–299.

    CAS  Google Scholar 

  11. Semba CP, Kato N, Kee ST, et al. Acute rupture of the descending thoracic aorta: repair with use of endovascular stent-grafts. J Vascular Intervent Rad 1997;8(3):337–342.

    Article  CAS  Google Scholar 

  12. Zinck SE, Primack SL. Radiographic and CT findings in blunt chest trauma. J Thorac Imaging 2000;15(2):87–96.

    Article  PubMed  CAS  Google Scholar 

  13. Lu B, Dai RP, Jing BL, et al. Electron beam tomography with three-dimensional reconstruction in the diagnosis of aortic diseases. J Cardiovasc Surg 2000;41:659–668.

    CAS  Google Scholar 

  14. Stueckle CA, Haegele KF, Jendreck M, et al. Multislice computed tomography angiography of the abdominal arteries: comparison between computed tomography angiography and digital subtraction angiography findings in 52 cases. Australas Radiol 2004;48(2):142–147.

    Article  PubMed  Google Scholar 

  15. Nihan E, Levent A, Sekup A. Assessment of aortic diseases with electron beam tomographic angiography. EBT Symposium 2003;11–15.

    Google Scholar 

  16. Fleischmann D. Multiple detector-row CT angiography of the renal and mesenteric vessels. Eur J Radiol 2003;45(Suppl 1):S79–S87.

    Article  PubMed  Google Scholar 

  17. Willmann JK, Wildermuth S, Pfammatter T, et al. Aortoiliac and renal arteries: prospective intraindividual comparison of contrast-enhanced three-dimensional MR angiography and multi-detector row CT angiography. Radiology 2003;226:798–811.

    PubMed  Google Scholar 

  18. Tepe SM, Memisoglu E, Kural AR. Three-dimensional noninvasive contrast-enhanced electron beam tomography angiography of the kidneys: adjunctive use in medical and surgical management. Clin Imaging 2004;28(1):52–58.

    Article  PubMed  Google Scholar 

  19. Mallouhi A, Schocke M, Judmaier W, et al. 3D MR angiography of renal arteries: comparison of volume rendering and maximum intensity projection algorithms. Radiology. 2002;223(2):509–516.

    PubMed  Google Scholar 

  20. Johnson PT, Halpern EJ, Kuszyk BS, et al. Renal artery stenosis: CT angiography — comparison of real-time volume-rendering and maximum intensity projection algorithms. Radiology 1999 May; 211(2):337–343.

    PubMed  CAS  Google Scholar 

  21. Laghi A, Iannaccone R, Catalano C, et al. Multislice spiral computed tomography angiography of mesenteric arteries. Lancet 2001;358:638–639.

    Article  PubMed  CAS  Google Scholar 

  22. Lawler LP, Fishman EK. Celiomesenteric anomaly demonstration by multidetector CT and volume rendering. J Comput Assist Tomogr 2001;25:802–804.

    Article  PubMed  CAS  Google Scholar 

  23. Erbay N, Raptopoulos V, Pomfret EA, et al. Living donor liver transplantation in adults: vascular variants important in surgical planning for donors and recipients. Am J Roentgenol 2003;181:109–114.

    Google Scholar 

  24. Byun JH, Kim TK, Lee SS, et al. Evaluation of the hepatic artery in potential donors for living donor liver transplantation by computed tomography angiography using multidetector-row computed tomography: comparison of volume rendering and maximum intensity projection techniques. J Comput Assist Tomogr 2003;27:125–131.

    Article  PubMed  Google Scholar 

  25. Kannel WB. Current status of the epidemiology of brain infarction associated with occlusive arterial disease. Stroke 1971;2:295–318.

    PubMed  CAS  Google Scholar 

  26. North American Symptomatic Carotid Endarterectomy Trial Collaborators. Beneficial effect of carotid endarterectomy in symptomatic patients with high-grade carotid stenosis. N Engl J Med 1991;325:445–453.

    Article  Google Scholar 

  27. Smith WS, Roberts HC, Chuang NA, et al. Safety and feasibility of a CT protocol for acute stroke: combined CT, CT angiography, and CT perfusion imaging in 53 consecutive patients. Am J Neuroradiol 2003;24:688–690.

    PubMed  Google Scholar 

  28. Na DG, Ryoo JW, Lee KH, et al. Multiphasic perfusion computed tomography in hyperacute ischemic stroke: comparison with diffusion and perfusion magnetic resonance imaging. J Comput Assist Tomogr 2003;27:194–206.

    Article  PubMed  Google Scholar 

  29. Collaborative Group. MRC European Carotid Surgery Trial: interim results for symptomatic patients with severe (70–99%) or with mild (0–29%) carotid stenosis — European Carotid Surgery Trialists. Lancet 1991;337:1235–1243.

    Article  Google Scholar 

  30. Barnett HJ, Taylor DW, Eliasziw M, et al. Benefit of carotid endarterectomy in patients with symptomatic moderate or severe stenosis: North American Symptomatic Carotid Endarterectomy Trial Collaborators. N Engl J Med 1998;339:1415–1425.

    Article  PubMed  CAS  Google Scholar 

  31. Randoux B, Marro B, Koskas F, et al. Carotid artery stenosis: prospective comparison of CT, three-dimensional gadolinium-enhanced MR, and conventional angiography. Radiology. 2001;220(1):179–185.

    PubMed  CAS  Google Scholar 

  32. Hatsukami TS, Ferguson MS, Beach KW, et al. Carotid plaque morphology and clinical events. Stroke 1997;28:95–100.

    PubMed  CAS  Google Scholar 

  33. Comerota AJ, Katz ML, White JV, Grosh JD. The preoperative diagnosis of the ulcerated carotid atheroma. J Vasc Surg 1990;11:505–510.

    Article  PubMed  CAS  Google Scholar 

  34. Runge VM, Kirsch JE, Lee C. Contrast-enhanced MR angiography. J Magn Reson Imaging 1993;3:233–239.

    PubMed  CAS  Google Scholar 

  35. Marro B, Zouaoui A, Koskas F, et al. Computerized tomographic angiography scan following carotid endarterectomy. Ann Vasc Surg 1998;12:451–456.

    Article  PubMed  CAS  Google Scholar 

  36. Castillo M, Wilson JD. CT angiography of the common carotid artery bifurcation: comparison between two techniques and conventional angiography. Neuroradiology 1994;36:602–604.

    Article  PubMed  CAS  Google Scholar 

  37. Cinat M, Lane CT, Pham H, Lee A, Wilson SE, Gordon I. Helical CT angiography in the preoperative evaluation of carotid artery stenosis. J Vasc Surg 1998;28:290–300.

    Article  PubMed  CAS  Google Scholar 

  38. Leclerc X, Martinat P, Godefroy O, et al. Contrast-enhanced three-dimensional fast imaging with steady-state precession (FISP) MR angiography of supraaortic vessels: preliminary results. Am J Neuroradiol 1998;19:1405–1413.

    PubMed  CAS  Google Scholar 

  39. Slosman F, Stolpen AH, Lexa FJ, et al. Extracranial atherosclerotic carotid artery disease: evaluation of non-breath-hold three-dimensional gadolinium-enhanced MR angiography. Am J Roentgenol 1998;170:489–495.

    CAS  Google Scholar 

  40. Scarabino T, Carriero A, Magarelli N, et al. MR angiography in carotid stenosis: a comparison of three techniques. Eur J Radiol 1998;28:117–125.

    Article  PubMed  CAS  Google Scholar 

  41. Cronqvist M, Stahlberg F, Larsson EM, Lonntoft M, Holtas S. Evaluation of time-of-flight and phase-contrast MRA sequences at 1.0 T for diagnosis of carotid artery disease. I. A phantom and volunteer study. Acta Radiol 1996;37:267–277.

    Article  PubMed  CAS  Google Scholar 

  42. Remonda L, Heid O, Schroth G. Carotid artery stenosis, occlusion, and pseudo-occlusion: first-pass, gadolinium-enhanced, three-dimensional MR angiography — preliminary study. Radiology 1998;208:95–102.

    Google Scholar 

  43. Levy RA, Prince MR. Arterial-phase three-dimensional contrast-enhanced MR angiography of the carotid arteries. Am J Roentgenol 1996;167:211–215.

    CAS  Google Scholar 

  44. Evans AJ, Richardson DB, Tien R, et al. Poststenotic signal loss in MR angiography: effects of echo time, flow compensation, and fractional echo. Am J Neuroradiol 1993;14:721–729.

    PubMed  CAS  Google Scholar 

  45. Eliasziw M, Streifler JY, Fox AJ, Hachinski VC, Ferguson GG, Barnett HJ. Significance of plaque ulceration in symptomatic patients with high-grade carotid stenosis: North American Symptomatic Carotid Endarterectomy Trial. Stroke 1994;25:304–308.

    PubMed  CAS  Google Scholar 

  46. Fayad ZA, Sirol M, Nikolaou K, Choudhury RP, Fuster V. Magnetic resonance imaging and computed tomography in assessment of atherosclerotic plaque. Curr Atheroscler Rep 2004;6(3):232–242.

    PubMed  Google Scholar 

  47. Ho VB, Foo TK. Optimization of gadolinium-enhanced magnetic resonance angiography using an automated bolus-detection algorithm. Invest Radiol 1998;33:515–523.

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2006 Springer-Verlag London Limited

About this chapter

Cite this chapter

Budoff, M.J. (2006). Aortic, Renal, and Carotid CT Angiography. In: Budoff, M.J., Shinbane, J.S., Achenbach, S., Raggi, P., Rumberger, J.A. (eds) Cardiac CT Imaging. Springer, London . https://doi.org/10.1007/1-84628-146-6_14

Download citation

  • DOI: https://doi.org/10.1007/1-84628-146-6_14

  • Publisher Name: Springer, London

  • Print ISBN: 978-1-84628-028-3

  • Online ISBN: 978-1-84628-146-4

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics