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[Diagnosis of aortic emergency]
1Klinische Abteilung für Radiodiagnostik für konservative Fächer, Universitätsklinik für Radiodiagnostik, Währinger Gürtel 18-20, A-1090 Wien. mathias.prokop@univie.ac.at
Wiener Medizinische Wochenschrift (1946)
|January 5, 2002
Summary
CT angiography is the top diagnostic choice for aortic emergencies, including dissection and rupture. Transesophageal echocardiography is an alternative, while MRI is limited by monitoring capabilities, except in renal impairment.
Area of Science:
- Cardiovascular Imaging
- Emergency Medicine Radiology
Background:
- Aortic emergencies require rapid and accurate diagnosis.
- Various imaging modalities exist, each with strengths and limitations.
Purpose of the Study:
- To evaluate the role of CT angiography as the primary diagnostic tool for aortic emergencies.
- To compare CT angiography with other modalities like transesophageal echocardiography and MRI.
Main Methods:
- Review of diagnostic performance of CT angiography in aortic emergencies.
- Comparison with transesophageal echocardiography and MRI based on diagnostic accuracy and patient monitoring capabilities.
Main Results:
- CT angiography is the preferred method for evaluating aortic dissection, rupture, and complications.
- It offers rapid assessment and continuous patient monitoring.
- Transesophageal echocardiography is a viable alternative for aortic dissection.
- MRI is generally unsuitable due to monitoring limitations, except in cases of renal insufficiency.
Conclusions:
- CT angiography is the gold standard for diagnosing aortic emergencies.
- Imaging modality choice depends on the clinical scenario, including renal function and monitoring needs.