Skip to main content

Advertisement

SpringerLink
Log in

Multi-slice CT (MSCT) angiography for assessment of traumatic lesions of lower limbs peripheral arteries

  • Original Article
  • Published:
Emergency Radiology Aims and scope Submit manuscript

Abstract

Aim

The aim of this study was to evaluate the feasibility and effectiveness of multi-slice computed tomography (MSCT) angiography for the assessment of traumatic lesions involving the arteries of the lower limbs.

Materials and methods

Forty-seven patients with suspected arterial post-traumatic lesions of lower limbs underwent MSCT angiography (4 × 2.5-mm collimation, 3-mm slice width). The standards of reference were: digital subtraction angiography (DSA; patients with inconclusive/doubtful or positive MSCT angiography indicating a need for intravascular treatment), surgical findings (patients with positive MSCT angiography indicating a need for surgery), or clinical/investigational follow-up (patients with negative MSCT angiography and no need for further diagnostic procedures or surgery).

Results

All CT exams were technically adequate. Sensitivity, specificity, and overall diagnostic accuracy of MSCT angiography were 96.3, 90, and 93.6%, respectively, relative to the reference of standard findings. In 44 out of 47 patients, MSCT angiography allowed a correct continuation of the diagnostic work-up.

Conclusion

MSCT angiography is a reliable fast tool for diagnosing traumatic vascular lesions, providing results comparable to DSA.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig 1
Fig 2

Similar content being viewed by others

References

  1. Geuder JW, Hobson RW II, Padberg FT Jr et al (1985) The role of contrast arteriography in suspected arterial injuries of the extremities. Ann Surg 51:89–93

    CAS  Google Scholar 

  2. Burger IM, Murphy KJ, Jordan LC et al (2006) Safety of cerebral digital subtraction angiography in children: complication rate analysis in 241 consecutive diagnostic angiograms. Stroke 37:2535–2539

    Article  PubMed  Google Scholar 

  3. Hyare H, Desigan S, Nicholl H et al (2006) Multi-section CT angiography compared with digital subtraction angiography in diagnosing major arterial hemorrhage in inflammatory pancreatic disease. Eur J Radiol 59:295–300

    PubMed  Google Scholar 

  4. Willmann JK, Baumert B, Schertler T et al (2005) Aortoiliac and lower extremity arteries assessed with 16-detector row CT angiography: prospective comparison with digital subtraction angiography. Radiology 236:1083–1093

    Article  PubMed  Google Scholar 

  5. Bynoe RP, Miles WS, Bell RM et al (1991) Noninvasive diagnosis of vascular trauma by duplex ultrasonography. J Vasc Surg 14:346–352

    Article  PubMed  CAS  Google Scholar 

  6. Meissner M, Paun M, Johansen K (1991) Duplex scanning for arterial trauma. Am J Surg 161:552–555

    Article  PubMed  CAS  Google Scholar 

  7. Yaquinto JJ, Harms SE, Siemers PT et al (1992) Arterial injury from penetrating trauma: evaluation with single-acquisition fat-suppressed MR imaging. Am J Roentgenol 158:631–633

    CAS  Google Scholar 

  8. Soto JA, Munera F, Morales C et al (2001) Focal arterial injuries of the proximal extremities: helical CT arteriography as the initial method of diagnosis. Radiology 218:188–194

    PubMed  CAS  Google Scholar 

  9. Soto JA, Múnera F, Cardoso N et al (1999) Diagnostic performance of helical CT angiography in trauma to large arteries of the extremities. J Comput Assist Tomogr 23:188–196

    Article  PubMed  CAS  Google Scholar 

  10. Rosner B (1995) Fundamentals of biostatistics. Duxbury, New York, NY, pp 420–426

    Google Scholar 

  11. Karlstrom L, Bergqvist D (1997) Effects of vascular surgery on amputation rates and mortality. Eur J Vasc Endovasc Surg 14:273–283

    Article  PubMed  CAS  Google Scholar 

  12. Rubin GD, Shiau MC, Leung AN et al (2000) Aorta and iliac arteries: single versus multiple detector-row helical CT angiography. Radiology 215:670–676

    PubMed  CAS  Google Scholar 

  13. Lips DL, Vacek JL (1999) Catheter-based methods for managing peripheral vascular disease: which types of occlusive disease are most amenable? Postgrad Med 106:69–73, 77–78, 80–82

    Article  PubMed  CAS  Google Scholar 

  14. Reimer P, Landwehr P (1998) Non-invasive vascular imaging of peripheral vessels. Eur Radiol 8:858–872

    Article  PubMed  CAS  Google Scholar 

  15. Rubin GD, Zarins CK (1995) MR and Spiral/Helical CT imaging of the lower extremity occlusive disease. Surg Clin North Am 75:607–619

    PubMed  CAS  Google Scholar 

  16. Waugh JR, Sacharias N (1992) Arteriografic complications in the DSA era. Radiology 182:243–246

    PubMed  CAS  Google Scholar 

  17. Puls R, Knollmann F, Werk M et al (2001) Multi-slice spiral CT: 3D CT angiography for evaluating therapeutically relevant stenosis in peripheral arterial occlusive disease. Rontgenpraxis 54:141–147

    PubMed  CAS  Google Scholar 

  18. Ofer A, Nitecki S, Linn S et al (2003) Multidetector CT angiography of peripheral vascular disease: a prospective comparison with intraarterial digital subtraction angiography. AJR Am J Roentgenol 180:719–724

    PubMed  Google Scholar 

  19. Ota H, Takase K, Igarashi K et al (2004) MDCT compared with digital subtraction angiography for assessment of lower extremity arterial occlusive disease: importance of reviewing cross-sectional images. AJR Am J Roentgenol 182:201–209

    PubMed  Google Scholar 

  20. Catalano C, Fraioli F, Laghi A et al (2004) Infrarenal aortic and lower-extremity arterial disease: diagnostic performance of multi-detector row CT angiography. Radiology 231:555–563

    Article  PubMed  Google Scholar 

  21. Martin ML, Tay KH, Flak B (2003) Multidetector CT angiography of the aortoiliac system and lower extremities: a prospective comparison with digital subtraction angiography. AJR Am J Roentgenol 180:1085–1091

    PubMed  Google Scholar 

  22. Willmann JK, Mayer D, Banyai M et al (2003) Evaluation of peripheral arterial bypass grafts with multi-detector row CT angiography: comparison with duplex US and digital subtraction angiography. Radiology 229:465–474

    Article  PubMed  Google Scholar 

  23. Laissy JP, Pernes JM (2004) Imaging of the lower limb arteries: when, how and why? J Radiol 85:845–850

    PubMed  CAS  Google Scholar 

  24. Karcaaltincaba M, Akata D, Leblebicioglu G et al (2004) MDCT angiography of the extremities in pediatric patients: initial experience. AJR Am J Roentgenol 183:189–192

    PubMed  Google Scholar 

  25. Jakobs TF, Wintersperger BJ, Becker CR (2004) MDCT-imaging of peripheral arterial disease. Semin Ultrasound CT MR 25:145–155

    Article  PubMed  Google Scholar 

  26. Patel AV, Marin ML, Veith FJ, Kerr A, Sanchez LA (1996) Endovascular graft repair of penetrating subclavian artery injuries. J Endovasc Surg 3:382–388

    Article  PubMed  CAS  Google Scholar 

  27. Uflacker R, Elliott BM (1996) Percutaneous endoluminal stent-graft repair of an old traumatic femoral arteriovenous fistula. Cardiovasc Intervent Radiol 19:120–122

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Clinical Science and Bioimaging, Section of Radiology, University “G. D’Annunzio”, Chieti, Italy

    Antonio Raffaele Cotroneo, Danilo Pascali & Maria Luigia Storto

  2. Department of Bioimaging and Radiological Science, Institute of Radiology, Catholic University, Rome, Italy

    Biagio Merlino

  3. Department of Radiology, University of Chieti, Osp. “SS. Annunziata”, Via dei Vestini, 66013, Chieti, Italy

    Roberto Iezzi

Authors
  1. Roberto Iezzi
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Antonio Raffaele Cotroneo
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Danilo Pascali
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Biagio Merlino
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Maria Luigia Storto
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Roberto Iezzi.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Iezzi, R., Cotroneo, A.R., Pascali, D. et al. Multi-slice CT (MSCT) angiography for assessment of traumatic lesions of lower limbs peripheral arteries. Emerg Radiol 14, 389–394 (2007). https://doi.org/10.1007/s10140-007-0656-3

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10140-007-0656-3

Keywords

Search

Navigation