Why the study?
Does pre-operative computed tomography (CT) detect major additional pathology influencing surgical management in patients with suspected abdominal aortic aneurysms?
Does pre-operative computed tomography (CT) detect major additional pathology influencing surgical management in patients with suspected abdominal aortic aneurysms?
Pre-operative CT in patients with suspected abdominal aortic aneurysms detects major additional pathology that influences surgical management in over a third of cases, supporting its routine use.
Pre-operative CT may alter planning in suspected AAA; leaves open whether routine use improves outcomes.
Major additional pathology, in the abdomen or directly related to the aneurysm itself, which influenced surgical management was demonstrated in 39 (34.5%) of 113 patients with suspected abdominal aortic aneurysm who had undergone pre-operative assessment with computed tomography (CT). Major additional pathology within the abdomen was shown in 11 (9.7%) and related to the aneurysm itself in 26 (23%). Therefore, CT has a significant impact on operative management of such patients and should be routine in the pre-operative evaluation of abdominal aortic aneurysms. The current roles of CT angiography and magnetic resonance angiography are discussed.
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Fitzgerald et al. (1996) studied this question.
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