CV Protocol: Difference between revisions
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=== Protocol selection guidelines: === | === Protocol selection guidelines: === | ||
* For known/suspected ascending aortic aneurysm or dissection: Use gated CTA (prospective is much lower dose and preferred) | * For known/suspected '''ascending''' aortic aneurysm or dissection: Use '''gated''' CTA (prospective is much lower dose and preferred) | ||
* For known/suspected descending aortic aneurysm or dissection: Use non-gated CTA | * For known/suspected '''descending''' aortic aneurysm or dissection: Use '''non'''-gated CTA | ||
* For chest pain, r/o dissection/aneurysm: Use non-gated CTA | * For chest pain, r/o dissection/aneurysm: Use '''non'''-gated CTA | ||
=== Contrast guidelines: === | === Contrast guidelines: === | ||
* Acute Aorta (dissection, intramural hematoma, penetrating atherosclerotic ulcer): protocol as BOTH noncon and with contrast | * '''Acute''' Aorta (dissection, intramural hematoma, penetrating atherosclerotic ulcer): '''protocol''' as BOTH noncon and with contrast | ||
* Repaired aneurysm w/ endovascular stent: | * Repaired aneurysm w/ endovascular stent: | ||
** Protocol as BOTH noncon and with contrast and put 2 min delay in comments | ** Protocol as '''BOTH''' noncon and with contrast '''and''' put 2 min delay in comments | ||
** FYI only - UWHC does some of these as non only, but that requires immediate access to 3D volume calculations which we don't have available at 1SP or Meriter | ** FYI only - UWHC does some of these as non only, but that requires immediate access to 3D volume calculations which we don't have available at 1SP or Meriter | ||
* Repaired aneurysm w/ open surgical repair: protocol as BOTH noncon and with contrast | * Repaired aneurysm w/ open surgical repair: protocol as '''BOTH''' noncon and with contrast | ||
* Known unrepaired aneurysm f/u: single phase - noncon only is fine, or CTA arterial phase is acceptable instead | * Known unrepaired aneurysm f/u: single phase - noncon only is fine, or CTA arterial phase is acceptable instead | ||
Latest revision as of 14:25, 31 October 2018
Protocol selection guidelines:
- For known/suspected ascending aortic aneurysm or dissection: Use gated CTA (prospective is much lower dose and preferred)
- For known/suspected descending aortic aneurysm or dissection: Use non-gated CTA
- For chest pain, r/o dissection/aneurysm: Use non-gated CTA
Contrast guidelines:
- Acute Aorta (dissection, intramural hematoma, penetrating atherosclerotic ulcer): protocol as BOTH noncon and with contrast
- Repaired aneurysm w/ endovascular stent:
- Protocol as BOTH noncon and with contrast and put 2 min delay in comments
- FYI only - UWHC does some of these as non only, but that requires immediate access to 3D volume calculations which we don't have available at 1SP or Meriter
- Repaired aneurysm w/ open surgical repair: protocol as BOTH noncon and with contrast
- Known unrepaired aneurysm f/u: single phase - noncon only is fine, or CTA arterial phase is acceptable instead