Aortography

Aortography
Intervention
B. Translumbar aortography shows near-total obstruction of the femoral arteries in a patient with Monckeberg's arteriosclerosis.
ICD-9-CM	88.42
MeSH	D001027

An aortogram involves placement of a catheter in the aorta and injection of contrast material while taking x-rays of the aorta. The procedure is known as aortography. The diagnosis of aortic dissection can be made by visualization of the intimal flap and flow of contrast material in both the true lumen and the false lumen. The catheter has to be inserted through the right femoral artery, because in about two thirds of cases the aortic dissection spreads into the left common iliac artery.

The aortogram was previously considered the gold standard test for the diagnosis of aortic dissection, with a sensitivity of up to 88% and a specificity of about 94%. It is especially poor in the diagnosis of cases where the dissection is due to hemorrhage within the media without any initiating intimal tear.

The advantage of the aortogram in the diagnosis of aortic dissection is that it can delineate the extent of involvement of the aorta and branch vessels and can diagnose aortic insufficiency.

The disadvantages of the aortogram are that it is an invasive procedure and it requires the use of iodinated contrast material.

In modern medicine, it has been replaced by the diagnostic tools of MRI, CT, and transesophageal echocardiography(TEE) all of which have sensitivities that exceed 90%. TEE is favored in emergency situations, as it is relatively non-invasive and a rapid procedure (more so than MRI, which can takes hours).

External links

Aortography at the US National Library of Medicine Medical Subject Headings (MeSH)
http://www.redorbit.com/education/reference_library/health_1/medical_procedures/1112834162/aortography/

Vascular surgery ICD-9-CM V3 38–39, ICD-10-PCS 03–6

Vascular and
Endovascular surgery

Arterial disease	Vascular bypass Angioplasty Atherectomy Endarterectomy Carotid endarterectomy Stenting Carotid stenting

Venous disease	Ambulatory phlebectomy Laser surgery Sclerotherapy Vein stripping

Arterial and Venous Access	Venous cutdown Arteriotomy Phlebotomy

Aortic aneurysm / dissection:	Endovascular aneurysm repair Open aortic surgery

Other	Cardiopulmonary bypass Cardioplegia Extracorporeal membrane oxygenation Hemodialysis Revascularization Glomectomy First rib resection Seldinger technique Vascular snare

Medical imaging

Angiography	Digital subtraction angiography Cerebral angiography Aortography Fluorescein angiography Radionuclide angiography Magnetic resonance angiography

Venography	Portography Impedance phlebography

Ultrasound	Intravascular ultrasound Carotid ultrasonography

Other diagnostic

Medical imaging (ICD-9-CM V3 87–88, ICD-10-PCS B, CPT 70010–79999)

X-ray/
medical radiography/
Industrial radiography

Medical:	Pneumoencephalography Dental radiography Sialography Myelography CXR Bronchography AXR KUB DXA/DXR Upper gastrointestinal series/Small-bowel follow-through/Lower gastrointestinal series Cholangiography/Cholecystography Mammography Pyelogram Cystography Arthrogram Hysterosalpingography Skeletal survey Angiography Angiocardiography Aortography Venography Lymphogram

Industrial:	Radiographic testing

3D / XCT

Medical:	CT pulmonary angiogram Computed tomography of the heart Computed tomography of the abdomen and pelvis Virtual colonoscopy CT angiography Computed tomography of the head Quantitative computed tomography Spiral computed tomography High resolution CT Whole body imaging Full-body CT scan X-ray microtomography Electron beam tomography

Industrial:	Industrial computed tomography

Other

Fluoroscopy

MRI

Ultrasound

Radionuclide

2D / scintigraphy

Cholescintigraphy Scintimammography Ventilation/perfusion scan Radionuclide ventriculography Radionuclide angiography Radioisotope renography Sestamibi parathyroid scintigraphy Radioactive iodine uptake test Bone scintigraphy Immunoscintigraphy

full body:	Octreotide scan Gallium 67 scan Indium-111 WBC scan

3D / ECT

SPECT gamma ray: Myocardial perfusion imaging

PET (positron):	Brain PET Cardiac PET PET mammography PET-CT

Optical laser

Thermography

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