“…Current standard of practice preferentially administers RSI injections due to the empiric understanding that this results in improved vessel opacification due to shorter venous course to the heart, less venous reflux, and perivenous artifact. Although there are many studies elucidating the effects of CT scanning parameters, contrast injection protocols, and reconstruction techniques on CTAs, 10,14,[21][22][23][24][25][26][27] few have directly investigated right-sided versus left-sided upper extremity contrast injection effects on vessel opacification. Furthermore, it is not known if there are patients who might benefit more from RSI.…”