Detection and follow-up of important extra-arterial lesions with helical CT angiography.

Published

Journal Article

AIM: To determine the prevalence and significance of extra-arterial findings detected prospectively on helical computed tomographic angiography (CTA). SUBJECTS AND METHODS: The official reports of 802 consecutive CTAs performed over a 4.5-year period on 624 patients and the reports of all radiographic follow-up studies were reviewed for identification of important extra-arterial findings. Medical records and imaging studies of all patients with previously unknown extra-arterial findings on CTA were reviewed to assess follow-up. In cases where follow-up was not indicated in the medical record, referring physicians were contacted directly. RESULTS: Important, previously unknown, extra-arterial findings were detected on 35 CTAs (4.4% of all CTAs, 5.6% of all patients), with 33 of 35 detected prospectively. Six lesions were consistent with and/or proven to be malignant. Important non-tumoural lesions were discovered on nine CTAs. Of 13 lesions with imaging features that were suspicious for malignancy. Five of these lesions proved to be benign, but radiographic and/or clinical follow-up was not obtained or could not be documented in eight patients. CONCLUSION: With the increasing use of CTA as a replacement for conventional angiography, careful attention should be paid to the visualized extra-arterial structures. Extra-vascular findings that are believed to be significant, may not be adequately followed-up by referring vascular specialists.

Full Text

Duke Authors

Cited Authors

  • Katz, DS; Jorgensen, MJ; Rubin, GD

Published Date

  • May 1999

Published In

Volume / Issue

  • 54 / 5

Start / End Page

  • 294 - 300

PubMed ID

  • 10362234

Pubmed Central ID

  • 10362234

Electronic International Standard Serial Number (EISSN)

  • 1365-229X

International Standard Serial Number (ISSN)

  • 0009-9260

Digital Object Identifier (DOI)

  • 10.1016/s0009-9260(99)90557-3

Language

  • eng