74174 Computed tomographic angiography, abdomen and pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing

Name of the Procedure:

Computed Tomographic Angiography (CTA) of the Abdomen and Pelvis with Contrast Material(s), including Noncontrast Images and Image Postprocessing

Summary

Computed Tomographic Angiography (CTA) of the abdomen and pelvis is a diagnostic imaging test that uses special X-ray equipment to create detailed pictures of the blood vessels and tissues in the abdominal and pelvic area. The procedure often involves the use of a contrast dye to enhance image clarity.

Purpose

CTA of the abdomen and pelvis is primarily conducted to assess blood vessels, detect abnormalities such as aneurysms, blockages, and other vascular conditions. The goals include obtaining accurate images for diagnosis, guiding treatment plans, or evaluating the effectiveness of prior treatments.

Indications

• Unexplained abdominal or pelvic pain
• Suspected aneurysms or vascular malformations
• Trauma to abdominal or pelvic blood vessels
• Assessment of blood flow and vessel integrity before surgery
• Monitoring known vascular conditions

Preparation

• Patients are often required to fast for 4 to 6 hours before the procedure.
• Inform healthcare providers of any allergies, especially to contrast material.
• Some medications may need to be paused before the test.
• Pre-procedure blood tests may be conducted to assess kidney function.

Procedure Description

1. The patient lies on a motorized table connected to the CT scanner.
2. An intravenous (IV) line is inserted to administer contrast material.
3. Initial noncontrast images are taken.
4. Contrast material is injected, and a series of X-ray images are captured.
5. The images are processed using computer software to produce detailed pictures.
6. The patient remains still throughout the series of scans.

Duration

The entire procedure typically takes about 30 to 60 minutes, including preparation and image processing time.

Setting

CTA of the abdomen and pelvis is usually performed in a hospital radiology department or an outpatient imaging center equipped with a CT scanner.

Personnel

• Radiologist: Interprets the images
• Radiologic Technologist: Operates the CT scanner
• Nurse: Assists with patient preparation and IV insertion

Risks and Complications

• Allergic reaction to contrast material
• Kidney function impairment due to contrast dye
• Radiation exposure (though minimal and controlled)
• Rare risk of bleeding or infection at the IV site

Benefits

• Provides detailed images of blood vessels and tissues, aiding accurate diagnosis.
• Noninvasive compared to traditional angiography.
• Helps in planning effective treatments and interventions.
• Immediate results are often available for swift medical decision-making.

Recovery

• Patients can usually resume normal activities immediately after the procedure.
• It’s advised to drink plenty of fluids to help flush the contrast material from the body.
• Follow-up appointments may be scheduled for discussing results and potential treatment plans.

Alternatives

• Magnetic Resonance Angiography (MRA): Uses magnetic fields instead of X-rays.
• Ultrasound: Noninvasive but less detailed for vascular imaging.
• Traditional Catheter Angiography: More invasive but provides therapeutic options.

Patient Experience

During the procedure, patients might feel a warm sensation or slight discomfort when the contrast material is injected. Lying still on the CT table can cause minor discomfort. Post-procedure, most patients do not experience significant pain, and any warmth or minor side effects from the contrast typically subside quickly.