Complete pre-operative imaging assessment of abdominal aortic aneurysm with spiral CT angiography

Diagnostic Value of CT Virtual Intravascular Endoscopy in Aortic Stent-Grafting

“…1,21 However, it is difficult to demonstrate all the required information in a single MPR or curvilinear reformatted image (Fig. 6).…”

ACC/AHA 2005 Practice Guidelines for the Management of Patients With Peripheral Arterial Disease (Lower Extremity, Renal, Mesenteric, and Abdominal Aortic)

“…For many years, transcatheter arteriography, including intra-arterial digital subtraction arteriography, was the "gold standard" for the preoperative assessment of AAAs. Early studies reported a high radiation dose and contrast load with computed tomography compared with digital subtraction arteriography (1017), but computed tomography provided additional information about adjacent veins and soft tissue and eventually supplanted digital subtraction arteriography as the preoperative study of choice. Because of improved techniques, their relatively noninvasive nature, and their cost advantage over transcatheter angiography, CTA and MRA have emerged as current "gold standards" in the preoperative and postoperative evaluation of AAAs (1018).…”

Spiral CT virtual endoscopy of abdominal arteries: clinical applications

“…A major potential role of VE could be in the preoperative evaluation of abdominal aortic aneurysms for careful planning of surgery that may require suprarenal clamping or concomitant surgery of visceral arteries [9]. In our experience, the distance of the aneurysm neck could be measured directly from within the lumen.…”

“…The question remains as to whether VE can be integrated with a standard spiral CT examination [2,9]. Further comparative studies are needed to validate and introduce VE in vascular practice.…”