myRadiologist

CTA aortic aneurysm evaluation


Strengths
pre- or post-stent or surgical evaluation of known abdominal aortic aneurysm. Includes 3D imaging and specific required measurements. If this is for thoracic aortic aneurysm, then use CTA chest (indication: aortic aneursym, NOT pulmonary embolism).
Limitations
If just for screening, use standard CT abdomen and pelvis with IV contrast or consider ultrasound.
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
74174
Exact format for order to be authorized
CT Angiogram abdomen and pelvis with IV contrast.
Patient Preparation
NPO 4 hours, but can take meds with small sip of water.