Purpose:

Computed tomography (CT) 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 utility of CT angiography in planning upper extremity reconstruction.

Methods:

Seventeen CT angiograms were obtained in fourteen patients over a 20-month period. All studies were obtained on an outpatient basis with contrast administered through a peripheral IV.

Results:

All studies demonstrated pertinent anatomy and intraoperative findings were as predicted in all cases. Information from two studies significantly altered preoperative planning. Average charge for CT angiography was $1,140 compared to $3,900 for traditional angiography.

Conclusions:

We have found CT angiography to be useful in preoperative planning of complex upper extremity reconstruction. It is a relatively safe, minimally invasive, and cost effective procedure that offers superior anatomic information and offers a favorable alternative to standard angiography.