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CT ANGIOGRAPHY UPPER LIMB

INDICATIONS (2)

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

PATIENT PREPARATION

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

ANATOMY INCLUDED
 

CT Angiography Upper Limb - Soft tissue window (axial)
CT Angiography Upper Limb- Soft tissue window (coronal)
CT Angiography Upper Limb- Soft tissue window (sagittal)

REFERENCES

  1. Patterson et al., 2016 - Clinical indications for CT angiography in lower extremity trauma, Current Orthopaedic Practice 27(4):p 400-404

  2. 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

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