title: CT angiography in complex upper extremity reconstruction.
abstract: Computed tomography angiography is a new technique that provides high-resolution, three-dimensional vascular imaging as well as excellent bone and soft tissue spatial relationships. The purpose of this study was to examine the use of computed tomography angiography in planning upper extremity reconstruction. Seventeen computed tomography angiograms were obtained in 14 patients over a 20-month period. All studies were obtained on an outpatient basis with contrast administered through a peripheral vein. All the studies demonstrated the pertinent anatomy and the intraoperative findings were as demonstrated in all cases. Information from two studies significantly altered pre-operative planning. The average charge for computed tomography angiography was 1,140 dollars, compared to 3,900 dollars for traditional angiography.
authors.affiliation: Division of Plastic and Reconstructive Surgery, Department of Radiology, and Hand and Upper Extremity Surgery, Stanford University Medical Center, Stanford, CA 94305, USA.
authors.forename: M A
authors.initials: MA
authors.lastname: Bogdan
authors.forename: M B
authors.initials: MB
authors.lastname: Klein
authors.forename: G D
authors.initials: GD
authors.lastname: Rubin
authors.forename: T R
authors.initials: TR
authors.lastname: McAdams
authors.forename: J
authors.initials: J
authors.lastname: Chang
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000792:Angiography / Q000191:economics / Q000379:methods*; D002648:Child; D002675:Child, Preschool; D003287:Contrast Media; D005260:Female; D006801:Humans; D007472:Iohexol; D035002:Lower Extremity / Q000098:blood supply / Q000000981:diagnostic imaging / Q000601:surgery; D008297:Male; D008875:Middle Aged; D014057:Tomography, X-Ray Computed / Q000191:economics; D034941:Upper Extremity / Q000098:blood supply* / Q000000981:diagnostic imaging* / Q000293:injuries / Q000601:surgery
chemical_list: D003287:Contrast Media; D007472:Iohexol