Abdominal Aortography


Abdominal Aortography, Angiography in AAA, AAA Angiogram

  • Indications
  1. Replaced in most cases by AAA CTA
  2. Preoperative evaluation in special cases
    1. Endovascular stent graft placement
    2. Suspected Renovascular Stenosis
    3. Chronic Mesenteric Ischemia
    4. Occlusive Iliac Disease
    5. Suprarenal Abdominal Aortic Aneurysm
    6. Atypical Renal Anatomy (e.g. horshoe Kidney)
    7. Previous colectomy
  • Advantages
  1. Detailed periaortic vascular imaging
  2. Best visualization of renal and iliac vessels
  • Disadvantages
  1. Underestimates aneurysm size (images only patent lumen)
  2. Risk of invasive procedure with iodinated contrast