Journal of Vascular Surgery
Volume 47, Issue 3 , Pages 492-498 , March 2008

Adequacy of an early arterial phase low-volume contrast protocol in 64-detector computed tomography angiography for aortoiliac aneurysms

  • Nicolas Diehm, MD

      Affiliations

    • Department of Interventional Radiology, Baptist Cardiac and Vascular Institute, Baptist Health Systems, Miami, Fla
    • Division of Vascular Surgery, Baptist Cardiac and Vascular Institute, Baptist Health Systems, Miami, Fla
    • ,
  • Constantino Pena, MD

      Affiliations

    • Department of Interventional Radiology, Baptist Cardiac and Vascular Institute, Baptist Health Systems, Miami, Fla
    • Corresponding Author InformationCorrespondence: Constantino Pena, MD, Baptist Cardiac and Vascular Institute, 8900 N Kendall Dr, Miami, FL 33176.
    • ,
  • James F. Benenati, MD

      Affiliations

    • Department of Interventional Radiology, Baptist Cardiac and Vascular Institute, Baptist Health Systems, Miami, Fla
    • ,
  • Athanassios I. Tsoukas, MD

      Affiliations

    • Division of Clinical and Interventional Angiology, Swiss Cardiovascular Center, Inselspital, University Hospital, Bern, Switzerland.
    • ,
  • Barry T. Katzen, MD

      Affiliations

    • Department of Interventional Radiology, Baptist Cardiac and Vascular Institute, Baptist Health Systems, Miami, Fla

Received 10 September 2007 ,Accepted 3 November 2007.

References 

  1. Rubin GD. MDCT imaging of the aorta and peripheral vessels. Eur J Radiol. 2003;45(suppl 1):S42–S49
  2. Armerding MD, Rubin GD, Beaulieu CF, Slonim SM, Olcott EW, Samuels SL, et al. Aortic aneurysmal disease: assessment of stent-graft treatment-CT versus conventional angiography. Radiology. 2000;215:138–146
  3. Diehm N, Herrmann P, Dinkel HP. Multidetector CT angiography versus digital subtraction angiography for aortoiliac length measurements prior to endovascular AAA repair. J Endovasc Ther. 2004;11:527–534
  4. Beebe HG, Kritpracha B. Computed tomography scanning for endograft planning: evolving toward three-dimensional, single source imaging. Semin Vasc Surg. 2004;17:126–134
  5. Brink JA. Use of high concentration contrast media (HCCM): principles and rationale–body CT. Eur J Radiol. 2003;45(suppl 1):S53–S58
  6. Costello P, Dupuy DE, Ecker CP, Tello R. Spiral CT of the thorax with reduced volume of contrast material: a comparative study. Radiology. 1992;183:663–666
  7. Cascade PN, Gross BH, Kazerooni EA, Quint LE, Francis IR, Strawderman M, et al. Variability in the detection of enlarged mediastinal lymph nodes in staging lung cancer: a comparison of contrast-enhanced and unenhanced CT. AJR Am J Roentgenol. 1998;170:927–931
  8. Furuta A, Ito K, Fujita T, Koike S, Shimizu A, Matsunaga N. Hepatic enhancement in multiphasic contrast-enhanced MDCT: comparison of high- and low-iodine-concentration contrast medium in same patients with chronic liver disease. AJR Am J Roentgenol. 2004;183:157–162
  9. Diehm N, Kickuth R, Gahl B, Do DD, Schmidli J, Rattunde H, et al. Intraobserver and interobserver variability of 64-row computed tomography abdominal aortic aneurysm neck measurements. J Vasc Surg. 2007;45:263–268
  10. Walsh SR, Tang T, Gaunt ME, Boyle JR. Contrast-induced nephropathy. J Endovasc Ther. 2007;14:92–100
  11. Van Praet JT, De Vriese AS. Prevention of contrast-induced nephropathy: a critical review. Curr Opin Nephrol Hypertens. 2007;16:336–347
  12. Nyman U, Almen T, Aspelin P, Hellstrom M, Kristiansson M, Sterner G. Contrast-medium-Induced nephropathy correlated to the ratio between dose in gram iodine and estimated GFR in mL/min. Acta Radiol. 2005;46:830–842
  13. Manske CL, Sprafka JM, Strony JT, Wang Y. Contrast nephropathy in azotemic diabetic patients undergoing coronary angiography. Am J Med. 1990;89:615–620
  14. Rudnick MR, Goldfarb S, Wexler L, Ludbrook PA, Murphy MJ, Halpern EF, et al. Nephrotoxicity of ionic and nonionic contrast media in 1196 patients: a randomized trial (The Iohexol Cooperative Study). Kidney Int. 1995;47:254–261
  15. Meschi M, Detrenis S, Musini S, Strada E, Savazzi G. Facts and fallacies concerning the prevention of contrast medium-induced nephropathy. Crit Care Med. 2006;34:2060–2068
  16. Chuter TA, Reilly LM, Faruqi RM, Kerlan RB, Sawhney R, Canto CJ, et al. Endovascular aneurysm repair in high-risk patients. J Vasc Surg. 2000;31:122–133
  17. Wald R, Waikar SS, Liangos O, Pereira BJ, Chertow GM, Jaber BL. Acute renal failure after endovascular vs open repair of abdominal aortic aneurysm. J Vasc Surg. 2006;43:460–466
  18. Kubo S, Tadamura E, Yamamuro M, Hosokawa R, Kimura T, Kita T, et al. Thoracoabdominal-aortoiliac MDCT angiography using reduced dose of contrast material. AJR Am J Roentgenol. 2006;187:548–554
  19. Utsunomiya D, Awai K, Tamura Y, Nishiharu T, Urata J, Sakamoto T, et al. 16-MDCT aortography with a low-dose contrast material protocol. AJR Am J Roentgenol. 2006;186:374–378
  20. Setty BN, Sahani DV, Ouellette-Piazzo K, Hahn PF, Shepard JA. Comparison of enhancement, image quality, cost, and adverse reactions using 2 different contrast medium concentrations for routine chest CT on 16-slice MDCT. J Comput Assist Tomogr. 2006;30:818–822
  21. Willmann JK, Baumert B, Schertler T, Wildermuth S, Pfammatter T, Verdun FR, et al. Aortoiliac and lower extremity arteries assessed with 16-detector row CT angiography: prospective comparison with digital subtraction angiography. Radiology. 2005;236:1083–1093
  22. Janka R, Fellner C, Wenkel E, Lang W, Bautz W, Fellner FA. Contrast-enhanced MR angiography of peripheral arteries including pedal vessels at 1.0 T: feasibility study with dedicated peripheral angiography coil. Radiology. 2005;235:319–326
  23. Diehm N, Kickuth R, Baumgartner I, Srivastav SK, Gretener S, Husmann MJ, et al. Magnetic resonance angiography in infrapopliteal arterial disease: prospective comparison of 1.5 and 3 Tesla magnetic resonance imaging. Invest Radiol. 2007;42:467–476
  24. Berg KJ. Nephrotoxicity related to contrast media. Scand J Urol Nephrol. 2000;34:317–322
  25. Schoellnast H, Tillich M, Deutschmann MJ, Deutschmann HA, Schaffler GJ, Portugaller HR. Aortoiliac enhancement during computed tomography angiography with reduced contrast material dose and saline solution flush: influence on magnitude and uniformity of the contrast column. Invest Radiol. 2004;39:20–26
  26. Bae KT, Tao C, Gurel S, Hong C, Zhu F, Gebke TA, et al. Effect of patient weight and scanning duration on contrast enhancement during pulmonary multidetector CT angiography. Radiology. 2007;242:582–589
  27. Dewey M, Hoffmann H, Hamm B. CT coronary angiography using 16 and 64 simultaneous detector rows: intraindividual comparison. Rofo. 2007;179:581–586
  28. Teutelink A, Muhs BE, Vincken KL, Bartels LW, Cornelissen SA, van Herwaarden JA, et al. Use of dynamic computed tomography to evaluate pre- and postoperative aortic changes in AAA patients undergoing endovascular aneurysm repair. J Endovasc Ther. 2007;14:44–49
  29. Fleischmann D. Present and future trends in multiple detector-row CT applications: CT angiography. Eur Radiol. 2002;12(suppl 2):S11–S15
  30. Fleischmann D. Use of high concentration contrast media: principles and rationale-vascular district. Eur J Radiol. 2003;45(suppl 1):S88–S93
  31. de Monye C, Cademartiri F, de Weert TT, Siepman DA, Dippel DW, van Der Lugt A. Sixteen-detector row CT angiography of carotid arteries: comparison of different volumes of contrast material with and without a bolus chaser. Radiology. 2005;237:555–562
  32. Cademartiri F, Mollet NR, Runza G, Belgrano M, Malagutti P, Meijboom BW, et al. Diagnostic accuracy of multislice computed tomography coronary angiography is improved at low heart rates. Int J Cardiovasc Imaging. 2006;22:101–105
  33. Cademartiri F, Mollet NR, van der Lugt A, McFadden EP, Stijnen T, de Feyter PJ, et al. Intravenous contrast material administration at helical 16-detector row CT coronary angiography: effect of iodine concentration on vascular attenuation. Radiology. 2005;236:661–665
  34. Tonnessen BH, Sternbergh WC, Money SR. Mid- and long-term device migration after endovascular abdominal aortic aneurysm repair: a comparison of AneuRx and Zenith endografts. J Vasc Surg. 2005;42:392–400

 This work was supported in part by the Baptist Cardiac and Vascular Institute Cook Research Scholarship Program.

 Competition of interest: Dr Diehm is Cook Research Scholar at Baptist Cardiac and Vascular Institute, a position partly funded by Cook Inc, Bloomington, Ind.

PII: S0741-5214(07)01766-1

doi: 10.1016/j.jvs.2007.11.004

Journal of Vascular Surgery
Volume 47, Issue 3 , Pages 492-498 , March 2008

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