References

Intervention

Participants

Results

Conclusion

Advantages of CTA described in the study

Disadvantages of CTA described in the study

Alexandra Jakubiak

(2009)

Poland

CTA with 64-row detector CT in patients with ALI

Duration: Nov 2007-Jan 2009

(n = 43)

Occlusion confirmed in 42 patients out of 43

Sensitivity 98%

CTA should be considered as basic diagnostic method for patient with ALI and is effective in.

Minimally invasive

Short examination time (10 minutes)

Availability

Accuracy

Radiation exposure

Ferda J

(2008)

Germany

Value of CTA in:

1) Definitive diagnosis of ALI

2) Further management

Duration: Jan 2006-Nov 2007

(n = 106)

Definitive diagnosis in 105 patients

Sensitivity 99%

CTA in patients with suspected ALI is a valid diagnostic tool. CTA can provide information relevant for further management.

Standard examination protocol should be applied to increase accuracy in reporting.

Availability

Accuracy

Nephrotoxicity

Radiation exposure

False-positive due to vessels calcification.

False-positive due to unopacified vessels with the contrast (contrast timing)

A. PreuB (2015)

UK

Extravascular findings in run-off CTA inpatient with ALI

Duration: 2005-2013

(n = 141)

In total 473 extravascular findings

38 patients with 52 category-I findings

67 patients with 163 category-II findings

36 patients with 258 category-III findings

Patients who had CTA for diagnostic purposes high chance of extravascular incidental findings with immediate clinical relevance.

Non-invasive

Short examination time

Accuracy

Extravascular findings

Overdiagnosis (extra healthcare expenditure)

Talha Butt (2021)

USA

CTA of calf arteries diagnostic performance in patients with and without diabetes

Duration: 2001-2018

(n = 108)

23 patients had diabetes and 85 did not.

Sensitivity for TASC D lesions in patients with diabetes was lower than in patients without

CTA did not show acceptable results in the assessment of patients with diabetes. Therefore, another method of imaging should be considered for patients who have diabetes.

Non-invasive

Availability

Radiation exposure

Nephrotoxicity

False-positive due to vessels calcification