Computed tomographic angiography allows accurate planning of the setting and technique of open and percutaneous vascular interventions.
BACKGROUND
Vascular surgeons can offer patients with arterial and venous disorders a multitude of endovascular and surgical options. Computed tomographic angiography (CTA) has the potential to allow the development of an effective interventional strategy without subjecting patients to invasive diagnostic testing.


METHODS
A prospectively maintained database was reviewed comprising 6 consecutive months of arterial and venous procedures performed using an algorithm emphasizing CTA supplemented with other noninvasive imaging.


RESULTS
Eighty-five patients underwent 90 arterial or venous procedures, the majority of which were based on CTA. Preprocedure plans matched a successful intervention in 35 of 40 (88%) procedures performed in the interventional suite, and 48 of 49 (98%) procedures performed in the surgical suite. Two of 40 patients treated initially in the interventional suite eventually required a surgical vascular procedure. The majority of procedures were therapeutic (86%) rather than diagnostic (14%).


CONCLUSIONS
An algorithm using CTA and supplemented with other noninvasive imaging allows safe and effective planning for open surgical and endovascular procedures.
Godshall
Christopher J
CJ
Department of Surgery, Division of Vascular Surgery, 550 South Jackson Street, University of Louisville, Louisville, KY 40292, USA. cjgods01@gwise.louisville.edu
D000465:Algorithms; D000800:Angioplasty, Balloon / Q000379:methods*; D001157:Arterial Occlusive Diseases / Q000000981:diagnostic imaging / Q000628:therapy; D005260:Female; D006801:Humans; D018810:Magnetic Resonance Angiography / Q000379:methods*; D008297:Male; D019060:Minimally Invasive Surgical Procedures / Q000009:adverse effects / Q000379:methods; D010690:Phlebography / Q000379:methods; D011446:Prospective Studies; D015642:Radiology, Interventional; D012042:Registries; D018570:Risk Assessment; D012680:Sensitivity and Specificity; D017749:Total Quality Management; D014652:Vascular Diseases / Q000000981:diagnostic imaging* / Q000628:therapy*; D014656:Vascular Surgical Procedures / Q000009:adverse effects / Q000379:methods*; D020246:Venous Thrombosis / Q000000981:diagnostic imaging / Q000628:therapy