title: Ultra-low contrast computed tomographic angiography (CTA) with 20-mL total dose for transcatheter aortic valve implantation (TAVI) planning.
abstract: Transcatheter aortic valve implantation workup includes assessment of the aorta and the iliofemoral arteries by computed tomographic angiography. An important group of transcatheter aortic valve implantation candidates have severe renal failure. We tested a novel computed tomographic angiography protocol (128-detector-row dual-source scanner, high-pitch helical mode) with ultralow contrast volume (20 mL) in 8 patients, compared with 8 controls. Contrast-to-noise ratio and subjective image quality, albeit lower than in the controls, were suitable for interpretation in the ultralow contrast volume group throughout all measured locations.
authors.affiliation: From the *Cardiac Imaging, Department of Radiology, and †Interventional Cardiology, Heart Center, Massachusetts General Hospital, Boston; and ‡Departament de Medicina, Universitat Autònoma de Barcelona, Barcelona, Spain.
authors.forename: Lorenzo
authors.initials: L
authors.lastname: Azzalini
authors.forename: Suhny
authors.initials: S
authors.lastname: Abbara
authors.forename: Brian B
authors.initials: BB
authors.lastname: Ghoshhajra
mesh_terms: D000369:Aged, 80 and over; D000465:Algorithms; D001021:Aortic Valve / Q000000981:diagnostic imaging* / Q000601:surgery*; D006328:Cardiac Catheterization; D055424:Cardiac-Gated Imaging Techniques; D003287:Contrast Media; D005260:Female; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D007479:Iopamidol; D008297:Male; D011857:Radiographic Image Interpretation, Computer-Assisted; D059629:Signal-To-Noise Ratio; D036542:Tomography, Spiral Computed / Q000379:methods*
chemical_list: D003287:Contrast Media; D007479:Iopamidol