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Right common iliac aneurysm by peripheral computed tomographic angiography
Author(s) -
Gopal Ambarish,
Pal Raveen,
Budoff Matthew J.
Publication year - 2009
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.22078
Subject(s) - medicine , computed tomographic angiography , claudication , radiology , stenosis , thrombus , aneurysm , arterial disease , angiography , ankle , common iliac artery , external iliac artery , vascular disease , intermittent claudication , surgery
This is a 77‐year‐old diabetic woman with history of claudication (Rutherford Category 2). Due to fear of underestimating disease with ankle‐brachial index in a person with diabetes and advancing age, a CT angiogram was performed. The right common iliac artery had aneurysmal disease (3.4 cm) and a thrombus of right internal iliac artery. There was also a 40% stenosis of right external iliac artery and a left subtotal internal iliac stenosis at the origin. Given it's non‐invasive nature and high diagnostic accuracy, CTA is poised to become the noninvasive test of choice in patients with suspected PAD or in patients at risk for obstructive vascular disease. © 2009 Wiley‐Liss, Inc.