CT ANGIOGRAPHY UPPER LIMBS

CT ANGIOGRAPHY UPPER LIMB

ct angio upper limb indications

Upper extremity trauma with suspected vascular injury.
Suspected vascular malformation or mass lesion.
Pre-operative planning – e.g. graft/flap assessment, embolization anatomy, fistula planning

ct angio upper limb pt prep

Patient able to lie still for ten minutes
Not claustrophobic (sedation may be given)
Cognitively capable of following basic instructions
Metal artefacts removed from the region of interest
No respiratory distress when lying supine
Not allergic to Iodine based contrast
No known kidney disease (eGFR below 30 as per RANZCR), however, acute setting consultant may sign to continue with poor renal function
No hyperthyroidism, may induce thyroid storm
Patient to have 18G cannula in anterior cubital fossa ON CONTRALATERAL ARM to enable a 7ml/s flow rate (20G cannula acceptable if flushing to 5ml/s).
Preferably patient fasted for 4 hours

ct angio upper limb anatomy

Patterson et al., 2016 - Clinical indications for CT angiography in lower extremity trauma, Current Orthopaedic Practice 27(4):p 400-404
American College of Radiology (ACR). Appropriateness Criteria. [Internet]. 2022 [Updated 2023, Cited 20 Feb 2024]. Available from https://www.acr.org/Clinical-Resources/ACR-Appropriateness-Criteria