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CT Angiography in Complex Upper Extremity Reconstruction

From the Division of Plastic and Reconstructive Surgery, Department of Radiology, and Hand and Upper Extremity Surgery, Stanford University Medical Center, Stanford, CA 94305 and Section of Plastic Surgery, Veterans Affairs Palo Alto Health Care System, Palo Alto, CA 94304, USA

Correspondence: Dr J. Chang, Division of Plastic Surgery, Stanford University Medical Center, NC-104, Stanford CA 94305, USA. Tel.: +1-650-723-5824; fax: +1-650-725-6605; E-mail: changhand{at}aol.com

Computed tomography angiography is a new technique that provides high-resolution, three dimensional vascular imaging as well as excellent bone and soft tissue spatial relationships. The purpose of this study was to examine the use of computed tomography angiography in planning upper extremity reconstruction. Seventeen computed tomography angiograms were obtained in 14 patients over a 20-monthperiod. All studies were obtained on an outpatient basis with contrast administered through a peripheral vein. All the studies demonstrated the pertinent anatomy and the intraoperative findings were as demonstrated in all cases. Information from two studies significantly altered pre-operative planning. The average charge for computed tomography angiography was $1,140, compared to $3,900 for traditional angiography.

Key Words: CT angiography • upper extremity reconstruction

Journal of Hand Surgery (British and European Volume), Vol. 29, No. 5, 465-469 (2004)
DOI: 10.1016/J.JHSB.2004.04.006


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