myRadiologist

CTA brain


Strengths
good for characterization of circle of Willis stenosis, acute occlusion, atherosclerotic stenoses or known aneurysm. Often ordered in combination with CTA carotids if for presurgical/intervention evaluation.
Limitations
If only for aneurysm screening, consider MRA (no contrast needed and good aneurysm detection).
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
70496
Exact format for order to be authorized
CT Angiogram Brain
Patient Preparation
NPO 4 hours, but can take meds with small sip of water.