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Assessment of Aortic Pathology and Peripheral Arterial Disease Using Multidetector Computed Tomographic Angiography

Division of Vascular Surgery and Endovascular Therapy, plin{at}bcm.edu

Carlos Bechara, MD

Division of Vascular Surgery and Endovascular Therapy

Panagiotis Kougias, MD

Division of Vascular Surgery and Endovascular Therapy

Tam T. Huynh, MD

Division of Vascular Surgery and Endovascular Therapy

Scott A. LeMaire, MD

Division of Cardiothoracic Surgery Michael E. DeBakey Department of Surgery, Baylor College of Medicine and Michael E. DeBakey VA Medical Center, Texas Heart Institute at St. Luke's Episcopal Hospital Houston, Texas

Joseph S. Coselli, MD

Division of Cardiothoracic Surgery Michael E. DeBakey Department of Surgery, Baylor College of Medicine and Michael E. DeBakey VA Medical Center, Texas Heart Institute at St. Luke's Episcopal Hospital Houston, Texas

The development of multidetector computed tomography represents a remarkable diagnostic advancement because this imaging modality has been widely used in the evaluation of the cardiovascular system. With scanner-adjusted image acquisition and contrast medium administration, multidetector computed tomographic angiography provides a cost-effective and accurate imaging assessment in patients with aortic pathologies or peripheral arterial occlusive disease. Multidetector computed tomographic angiography is associated with several advantages, including high image spatial resolution and rapid imaging acquisition speed. This diagnostic methodology allows accurate detection of a variety of intravascular lesions in the carotid artery, thoracic and abdominal aorta, renal arteries, and peripheral arterial systems. This article provides an overview of multidetector computed tomographic angiography in the assessment of arterial disease and reviews current literature about this diagnostic technology in the evaluation of aortic and peripheral arterial pathologies.

Key Words: multidetector CT angiography • peripheral arterial disease • dynamic imaging • computed tomography • thoracic aortic aneurysm

This version was published on January 1, 2009

Vascular and Endovascular Surgery, Vol. 42, No. 6, 583-598 (2009)
DOI: 10.1177/1538574408320029


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