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CTA of the Aorta by MDCT

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Part of the book series: Medical Radiology ((Med Radiol Diagn Imaging))

Abstract

Since aortic pathologies are associated with high morbidity and mortality, they require an accurate and efficient diagnostic approach. The introduction of multidetector-row technology with option of high-resolution CTA has extensively improved and expanded the clinical applications and is the standard of reference in diagnosis and follow-up of patients with aortic pathologies. The aim of the present chapter is to provide technical details for CTA of the aorta and to overview the most common clinical pathologies of the aorta. These include different types of aortic aneurysms and dissections, penetrating aortic ulcers, intramural aortic hematomas, aortitis, and traumatic injuries of the aorta. Furthermore, this chapter outlines the role of CTA in endovascular aortic reconstruction.

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References

  • Alkadhi H, Wildermuth S, Desbiolles L, Schertler T, Crook D, Marincek B, Boehm T (2004) Vascular emergencies of the thorax after blunt and iatrogenic trauma: multi-detector row CT and three-dimensional imaging. Radiographics 24:1239–1255

    Article  PubMed  Google Scholar 

  • Bahner ML, Bengel A, Brix G, Zuna I, Kauczor HU, Delorme S (2005) Improved vascular opacification in cerebral computed tomography angiography with 80 kVp. Invest Radiol 40:229–234

    Article  PubMed  Google Scholar 

  • Fillinger MF (1999) Postoperative imaging after endovascular AAA repair. Semin Vasc Surg 12:327–338

    PubMed  CAS  Google Scholar 

  • Fleischmann D (2003) Use of high-concentration contrast media in multiple-detector-row CT: principles and rationale. Eur Radiol 13(Suppl):M14–M20

    PubMed  Google Scholar 

  • Hayter RG, Rhea JT, Small A, Tafazoli FS, Novelline RA (2006) Suspected aortic dissection and other aortic disorders: multi-detector row CT in 373 cases in the emergency setting. Radiology 238:841–852

    Article  PubMed  Google Scholar 

  • Iezzi R, Cotroneo AR (2006) Endovascular repair of abdominal aortic aneurysms: CTA evaluation of contraindications. Abdom Imaging 31:722–731

    Article  PubMed  CAS  Google Scholar 

  • Iino M, Kuribayashi S, Imakita S, Takamiya M, Matsuo H, Ookita Y, Ando M, Ueda H (2002) Sensitivity and specificity of CT in the diagnosis of inflammatory abdominal aortic aneurysms. J Comput Assist Tomogr 26:1006–1012

    Article  PubMed  Google Scholar 

  • Isselbacher EM (2005) Thoracic and abdominal aortic aneurysms. Circulation 111:816–828

    Article  PubMed  Google Scholar 

  • Johnson TR, Krauss B, Sedlmair M, Grasruck M, Bruder H, Morhard D, Fink C, Weckbach S, Lenhard M, Schmidt B, Flohr T, Reiser MF, Becker CR (2007) Material differentiation by dual energy CT: initial experience. Eur Radiol 17:1510–1517

    Article  PubMed  Google Scholar 

  • Knollmann F, Schimpf K, Felix R (2004) [Iodine delivery rate of different concentrations of iodine-containing contrast agents with rapid injection]. Rofo 176:880–884

    PubMed  CAS  Google Scholar 

  • Luther BLP (2007) Kompaktwissen, Gefäßchirurgie. Differenzierte Diagnostik und Therapie. Springer, Berlin Heidelberg New York (In German)

    Google Scholar 

  • Mohr-Kahaly S, Erbel R, Kearney P, Puth M, Meyer J (1994) Aortic intramural hemorrhage visualized by transesophageal echocardiography: findings and prognostic implications. J Am Coll Cardiol 23:658–664

    Article  PubMed  CAS  Google Scholar 

  • Nienaber CA, Eagle KA (2003) Aortic dissection: new frontiers in diagnosis and management: Part II: therapeutic management and follow-up. Circulation 108:772–778

    Article  PubMed  Google Scholar 

  • Nienaber CA, von Kodolitsch Y, Petersen B, Loose R, Helmchen U, Haverich A, Spielmann RP (1995) Intramural hemorrhage of the thoracic aorta. Diagnostic and therapeutic implications. Circulation 92:1465–1472

    PubMed  CAS  Google Scholar 

  • Rakita D, Newatiaa A, Hines JJ, Siegel DN, Friedman B (2007) Spectrum of CT findings in rupture and impending rupture of abdominal aortic aneurysms. Radiographics 27:497–507

    Article  PubMed  Google Scholar 

  • Richter GM, Allenberg JR, Schumacher H, Hansmann J, Vahl C, Hagl S (2001) [Aortic dissection–when operative treatment, when endoluminal therapy?]. Radiologe 41:660–667 (In German)

    Article  PubMed  CAS  Google Scholar 

  • Robbins RC, McManus RP, Mitchell RS, Latter DR, Moon MR, Olinger GN, Miller DC (1993) Management of patients with intramural hematoma of the thoracic aorta. Circulation 88:II1–10

    PubMed  CAS  Google Scholar 

  • Rubin GD (2003) CT angiography of the thoracic aorta. Semin Roentgenol 38:115–134

    Article  PubMed  Google Scholar 

  • Rubin GD, Kalra MK (2006) MDCT angiography of the thoracic aorta. In: Saini S, Rubin GS, Kalra MK (eds) MDCT: a practical approach. Springer, Berlin Heidelberg New York, p 111

    Chapter  Google Scholar 

  • Sandmann W, Pfeiffer T (2002) Die endovaskuläre Therapie des abdominalen Aortenaneurysmas: Aus der Sicht des Gefäßchirurgen. Dtsch Arztebl 17:A1160–A1167 (In German)

    Google Scholar 

  • Shiga T, Wajima Z, Apfel CC, Inoue T, Ohe Y (2006) Diagnostic accuracy of transesophageal echocardiography, helical computed tomography, and magnetic resonance imaging for suspected thoracic aortic dissection: systematic review and meta-analysis. Arch Intern Med 166:1350–1356

    Article  PubMed  Google Scholar 

  • Singh K, Jacobsen BK, Solberg S, Bonaa KH, Kumar S, Bajic R, Arnesen E (2003) Intra- and interobserver variability in the measurements of abdominal aortic and common iliac artery diameter with computed tomography. The Tromso study. Eur J Vasc Endovasc Surg 25:399–407

    Article  PubMed  CAS  Google Scholar 

  • Sundt TM (2002) Management of intramural hematoma of the ascending aorta: still room for debate. J Thorac Cardiovasc Surg 124:894–895

    Article  PubMed  Google Scholar 

  • Takahashi K, Stanford W (2005) Multidetector CT of the thoracic aorta. Int J Cardiovasc Imaging 21:141–153

    Article  PubMed  Google Scholar 

  • Tang T, Boyle JR, Dixon AK, Varty K (2005) Inflammatory abdominal aortic aneurysms. Eur J Vasc Endovasc Surg 29:353–362

    PubMed  CAS  Google Scholar 

  • Tavora F, Burke A (2006) Review of isolated ascending aortitis: differential diagnosis, including syphilitic, Takayasu’s and giant cell aortitis. Pathology 38:302–308

    Article  PubMed  Google Scholar 

  • Tengg-Kobligk H, Weber TF, Rengier F, Bockler D, Schumacher H, Kauczor HU (2007) [Image postprocessing of aortic CTA and MRA.]. Radiologe 47:1003–1011 (in German)

    Article  Google Scholar 

  • Wallis F, Roditi GH, Redpath TW, Weir J, Cross KS, Smith FW (2000) Inflammatory abdominal aortic aneurysms: diagnosis with gadolinium enhanced T1-weighted imaging. Clin Radiol 55:136–139

    Article  PubMed  CAS  Google Scholar 

  • Wintersperger B, Jakobs T, Herzog P, Schaller S, Nikolaou K, Suess C, Weber C, Reiser M, Becker C (2005) Aorto-iliac multidetector-row CT angiography with low kV settings: improved vessel enhancement and simultaneous reduction of radiation dose. Eur Radiol 15:334–341

    Article  PubMed  CAS  Google Scholar 

  • Yamada I, Nakagawa T, Himeno Y, Numano F, Shibuya H (1998) Takayasu arteritis: evaluation of the thoracic aorta with CT angiography. Radiology 209:103–109

    PubMed  CAS  Google Scholar 

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© 2009 Springer-Verlag Berlin Heidelberg

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Sommer, W., Theisen, D., Wintersperger, B. (2009). CTA of the Aorta by MDCT. In: Reiser, M., Becker, C., Nikolaou, K., Glazer, G. (eds) Multislice CT. Medical Radiology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-33125-4_23

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  • DOI: https://doi.org/10.1007/978-3-540-33125-4_23

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-33124-7

  • Online ISBN: 978-3-540-33125-4

  • eBook Packages: MedicineMedicine (R0)

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