AJR
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Abstract Freely available
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Martin, M. L.
Right arrow Articles by Machan, L. S.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Martin, M. L.
Right arrow Articles by Machan, L. S.
Social Bookmarking
Add to CiteULike   Add to Complore   Add to Connotea   Add to Del.icio.us   Add to Digg   Add to Reddit   Add to Technorati  
What's this?
Hotlight (NEW!)
Right arrow
What's Hotlight?

Multidetector CT Angiography of the Aortoiliac System and Lower Extremities: A Prospective Comparison with Digital Subtraction Angiography

Michael L. Martin1, Kiang H. Tay1, Borys Flak1, Peter D. Fry2, D. Lynn Doyle2, David C. Taylor2, York N. Hsiang2 and Lindsay S. Machan1

1 Department of Radiology, University of British Columbia, UBC Hospital Site, 2211 Wesbrook Mall, Vancouver, B. C., V6T 2B5, Canada.
2 Department of Vascular Surgery, University of British Columbia, Vancouver, B. C., V6T 2B5, Canada.



View larger version (86K):

[in a new window]
  		Fig. 1A. —Significant external iliac artery stenosis underestimated by multide-tector CT (MDCT) angiography in 59year-old man with rest claudication. Maximum-intensity-projection MDCT angiogram of iliac arteries obtained after manual bone subtraction shows left external iliac artery stenosis (arrow) that was rated as 25–50% by all three observers.

 


View larger version (129K):

[in a new window]
  		Fig. 1B. —Significant external iliac artery stenosis underestimated by multide-tector CT (MDCT) angiography in 59year-old man with rest claudication. Left anterior oblique digital subtraction angiogram (DSA) of pelvis shows shelflike plaque in mid external iliac artery (arrow), rated as 75–99% stenosis by all three observers. Stenting of left common iliac artery and angioplasty of left external iliac artery were performed at time of DSA.

 


View larger version (167K):

[in a new window]
  		Fig. 2A. —Patent left leg runoff seen on multidetector CT (MDCT) angiography but not on digital subtraction angiography (DSA) in 74-year-old man with severe short-distance claudication. Posteroanterior DSA image obtained from right brachial approach of abdominal aorta shows severe irregularity of aorta.

 


View larger version (110K):

[in a new window]
  		Fig. 2B. —Patent left leg runoff seen on multidetector CT (MDCT) angiography but not on digital subtraction angiography (DSA) in 74-year-old man with severe short-distance claudication. Posteroanterior DSA image of iliac vessels shows severe right common iliac artery stenosis (arrow), irregularity of right iliac system, and occlusion of left common iliac artery with no collateral filling of left external iliac or common femoral artery.

 


View larger version (58K):

[in a new window]
  		Fig. 2C. —Patent left leg runoff seen on multidetector CT (MDCT) angiography but not on digital subtraction angiography (DSA) in 74-year-old man with severe short-distance claudication. Subtracted DSA image of proximal left thigh after distal aortic contrast injection shows no opacification of thigh vasculature.

 


View larger version (144K):

[in a new window]
  		Fig. 2D. —Patent left leg runoff seen on multidetector CT (MDCT) angiography but not on digital subtraction angiography (DSA) in 74-year-old man with severe short-distance claudication. Frontal maximum-intensity-projection MDCT angiogram of aortoiliac region obtained after manual bone subtraction shows collateral filling of left common femoral artery from inferior epigastric artery (curved arrow) and superficial iliac circumflex artery (straight arrow).

 


View larger version (48K):

[in a new window]
  		Fig. 2E. —Patent left leg runoff seen on multidetector CT (MDCT) angiography but not on digital subtraction angiography (DSA) in 74-year-old man with severe short-distance claudication. Frontal maximum-intensity-projection MDCT angiogram of left leg shows continuous arterial runoff from groin to ankle supplied by posterior tibial artery. Anterior tibial and peroneal arteries are occluded.

 


View larger version (90K):

[in a new window]
  		Fig. 3A. —Severe left common iliac artery stenosis in 46-year-old man with microemboli to left foot. Right anterior oblique maximum-intensity-projection multidetector CT (MDCT) angiogram obtained after manual bone removal shows focal eccentric 95% stenosis of mid common iliac artery (arrow).

 


View larger version (137K):

[in a new window]
  		Fig. 3B. —Severe left common iliac artery stenosis in 46-year-old man with microemboli to left foot. Right anterior oblique digital subtraction angiography image shows excellent concordance (arrow) with MDCT angiogram (A).

 

Add to CiteULike CiteULike   Add to Complore Complore   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Reddit Reddit   Add to Technorati Technorati    What's this?



HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Copyright © 2003 by the American Roentgen Ray Society.