myRadiologist

CTA for renal artery stenosis


Strengths
CTA very good. Less artifact than MRA. Can assess type and severity of plaque and provide accurate measurement of stenosis fro preprocedural planning. Includes 3D images.
Limitations
If only for screening for renal artery stenosis, consider ultrasound or captopril challenge nuclear renal scan.
Contraindications
1) Allergy to contrast, but we will premedicate patient as necessary; 2) IV contrast will be dose-adjusted dependent upon creatinine clearance.
CPT Code
74175
Exact format for order to be authorized
CTA abdomen with and without IV contrast.
Patient Preparation
NPO 4 hours, but can take meds with small sip of water.