CT Angiogram of Abdomen and Pelvis

A dye-timed CT that maps the arteries and veins of the belly and pelvis — the aorta, the vessels to the kidneys, gut and liver, and the ones running down into the legs. It is the study used to size an aortic aneurysm, to find where someone is bleeding internally, and to plan vascular surgery.

This explanation has not been reviewed by a person yet.

What it is

An ordinary abdominal CT with contrast is timed to show the organs. This one is timed earlier, to catch the dye while it is still in the arteries, which turns the aorta and its branches into a bright, traceable network. Software then builds that network into a three-dimensional model that a surgeon can rotate and measure. The distinction matters because the questions are different: a routine scan asks what is wrong with an organ, and this one asks what is wrong with the plumbing — how wide the aorta has become, where a vessel has narrowed, where blood is escaping.

Why it is done

  • To measure an abdominal aortic aneurysm and decide whether and how it should be repaired, and to size a stent graft for it
  • To find the source of internal bleeding, which shows as dye escaping from a vessel into somewhere it should not be
  • To check for narrowing of the kidney arteries, a treatable cause of high blood pressure, or of the arteries to the intestines
  • To assess the vessels before a kidney transplant, a liver operation or a stent placement, and to check the result afterward

What to expect

Fasting for several hours is usual, and an IV is placed in the arm for a rapid, pump-driven injection of iodine dye. The rush of warmth it produces is noticeable and short. Patients lie on their back and are asked to hold their breath while the scanner runs, which takes well under a minute; the full appointment is typically under half an hour. Kidney function is checked or asked about beforehand, because the dye load in an angiogram is larger than in a routine scan.

Questions worth asking

  • If the arteries of the legs were also mapped in the same run, that is an additional code. Which regions were actually billed?
  • Vascular reconstructions and measurements are sometimes charged separately from the scan itself. Is post-processing included in the quoted price?
  • For annual surveillance of a stable aneurysm, could an ultrasound do the job at a fraction of the cost, and how often is CT genuinely needed?
  • If this is being done as part of a surgical work-up, is it bundled into a global surgical price, or billed on its own before the operation?

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