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Pre-operative computed tomography in abdominal aortic aneurysms

E J Fitzgerald1, L D Spence

  • 1Department of Radiology, Mercy and University Hospitals, Cork, Ireland.

Postgraduate Medical Journal
|August 1, 1996
PubMed
Summary

Computed tomography (CT) significantly impacts surgical decisions for patients with suspected abdominal aortic aneurysms. Routine pre-operative CT scans are recommended to identify crucial additional pathologies affecting management.

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Area of Science:

  • Vascular Surgery
  • Radiology
  • Medical Imaging

Background:

  • Abdominal aortic aneurysms (AAAs) pose significant surgical risks.
  • Pre-operative assessment is crucial for planning AAA repair.
  • Identifying concomitant pathologies can alter surgical strategy.

Purpose of the Study:

  • To evaluate the impact of computed tomography (CT) on the surgical management of suspected abdominal aortic aneurysms.
  • To determine the prevalence of additional pathologies detected by CT in AAA patients.
  • To assess the role of CT in pre-operative planning for AAA.

Main Methods:

  • Retrospective review of 113 patients with suspected AAAs.
  • Analysis of pre-operative computed tomography (CT) findings.

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  • Correlation of CT findings with surgical management decisions.

    • Main Results:

    • Major additional pathology influencing surgical management was found in 34.5% of patients.
    • Abdominal pathologies were identified in 9.7% of cases.
    • Pathologies directly related to the aneurysm were found in 23% of cases.

    Conclusions:

    • Computed tomography (CT) significantly impacts the operative management of abdominal aortic aneurysms.
    • CT is a valuable tool for detecting additional pathologies that affect surgical planning.
    • Routine pre-operative CT assessment is recommended for patients with suspected AAAs.