Page 49 - Virtual Vascular Vol 2 Sep 2020-f
P. 49

CT SCAN











































































 A contrast abdominal CT scan including the pelvis (iliac arteries) is a standard investigation   Modern imaging software is capable of rendering 3-D reconstructions to give a better
 for patients with an abdominal aortic aneurysm (AAA) with and indication to surgery.  It   visual understanding of anatomy, particularly when EVAR is considered.  This patient has a
 provides accurate information on the size (max diameter) of the AAA, with additional infor-  rather straight aorta and long common iliac arteries.  He has bilateral double renal arteries
 mation of the status (size, tortuosity, length) of the proximal neck and access vessels.  and the right inferior accessory renal artery will need to be sacrificed if EVAR is performed.







 48                                                                                                            49
   44   45   46   47   48   49   50   51   52   53   54