Right common iliac aneurysm by peripheral computed tomographic angiography.
This is a 77-year-old diabetic woman with history of claudication (Rutherford Category 2). Due to fear of underestimating disease with ankle-brachial index in a person with diabetes and advancing age, a CT angiogram was performed. The right common iliac artery had aneurysmal disease (3.4 cm) and a thrombus of right internal iliac artery. There was also a 40% stenosis of right external iliac artery and a left subtotal internal iliac stenosis at the origin. Given it's non-invasive nature and high diagnostic accuracy, CTA is poised to become the noninvasive test of choice in patients with suspected PAD or in patients at risk for obstructive vascular disease.
Gopal
Ambarish
A
Division of Cardiology, Los Angeles Biomedical Research Institute at Harbor-UCLA, Torrance, California 90502, USA.
Pal
Raveen
R
Budoff
Matthew J
MJ
D000368:Aged; D000842:Ankle / Q000098:blood supply; D001157:Arterial Occlusive Diseases / Q000150:complications / Q000000981:diagnostic imaging* / Q000503:physiopathology; D001794:Blood Pressure; D001916:Brachial Artery / Q000503:physiopathology; D003251:Constriction, Pathologic; D005260:Female; D006801:Humans; D017543:Iliac Aneurysm / Q000150:complications / Q000000981:diagnostic imaging*; D007083:Iliac Artery / Q000000981:diagnostic imaging*; D007383:Intermittent Claudication / Q000000981:diagnostic imaging / Q000209:etiology; D011237:Predictive Value of Tests; D036542:Tomography, Spiral Computed