Annals of vascular surgery comparison of spiral CT scan and arteriography for evaluation of renal and visceral arteries

Dolores F. Cikrit, Veronica J. Harris, Chad G. Hemmer, Kenyon K. Kopecky, Michael Dalsing, Charles E. Hyre, Jane M. Fischer, Stephen G. Lalka, Alan Sawchuk

Research output: Contribution to journalArticle

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Abstract

Renal and visceral artery images obtained concurrently with spiral CT and conventional arteriography were compared for 32 patients. Indications for imaging were occlusive disease (n = 12), aneurysmal disease (n = 9), and renal or visceral artery disease (n = 11). Conventional arteriography enabled visualization of 64 renal arteries and 15 accessory renal arteries. Lateral aortograms obtained in 15 patients enabled visualization of 14 superior mesenteric (SMA) and 14 celiac arteries. Spiral CT enabled visualization of 60 renal arteries, 12 accessory renal arteries, 27 SMAs, and 22 celiac arteries. Calcification or a disparity in timing of contrast material injection and scanning prevented visualization of the celiac artery in 10 patients and the SMA in four patients. With conventional arteriography as the standard for comparison, spiral CT had a sensitivity of 67% and a specificity of 95% for depiction of at least 75% stenosis in the main renal artery. By means of the Pearson correlation coefficient, significant correlation (p <0.001) was confirmed between spiral CT and arteriography for evaluation of stenosis of the main renal artery, SMA, and celiac artery. This early experience suggests that spiral CT may be useful in evaluation of renal and visceral arteries and their relationship to aortic disease.

Original languageEnglish
Pages (from-to)109-116
Number of pages8
JournalAnnals of Vascular Surgery
Volume10
Issue number2
StatePublished - Mar 1996

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Spiral Computed Tomography
Renal Artery
Blood Vessels
Angiography
Celiac Artery
Aortic Diseases
Renal Artery Obstruction
Contrast Media
Pathologic Constriction
Arteries
Kidney
Injections

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Annals of vascular surgery comparison of spiral CT scan and arteriography for evaluation of renal and visceral arteries. / Cikrit, Dolores F.; Harris, Veronica J.; Hemmer, Chad G.; Kopecky, Kenyon K.; Dalsing, Michael; Hyre, Charles E.; Fischer, Jane M.; Lalka, Stephen G.; Sawchuk, Alan.

In: Annals of Vascular Surgery, Vol. 10, No. 2, 03.1996, p. 109-116.

Research output: Contribution to journalArticle

Cikrit, DF, Harris, VJ, Hemmer, CG, Kopecky, KK, Dalsing, M, Hyre, CE, Fischer, JM, Lalka, SG & Sawchuk, A 1996, 'Annals of vascular surgery comparison of spiral CT scan and arteriography for evaluation of renal and visceral arteries', Annals of Vascular Surgery, vol. 10, no. 2, pp. 109-116.
Cikrit, Dolores F. ; Harris, Veronica J. ; Hemmer, Chad G. ; Kopecky, Kenyon K. ; Dalsing, Michael ; Hyre, Charles E. ; Fischer, Jane M. ; Lalka, Stephen G. ; Sawchuk, Alan. / Annals of vascular surgery comparison of spiral CT scan and arteriography for evaluation of renal and visceral arteries. In: Annals of Vascular Surgery. 1996 ; Vol. 10, No. 2. pp. 109-116.
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