Incidence and significance of nonaneurysmal-related computed tomography scan findings in patients undergoing endovascular aortic aneurysm repair

Indes, Jeffrey; Lipsitz, Evan C.; Veith, Frank J.; Gargiulo, Nicholas J.; Privrat, Alysia I.; Eisdorfer, Jacob; Scher, Larry A.

doi:10.1016/j.jvs.2008.03.057

Cited by 21 publications

(14 citation statements)

References 14 publications

(16 reference statements)

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“…Two previous studies demonstrate the benefit of CT scanning for finding and treating early, incidental lesions. 12,13 Early diagnosis was attained for most of the patients who developed a malignancy in this population, and all of these patients are still alive. In particular, the patient who was found to have small cell cancer and has survived 6 years after treatment for that disease is notable.…”

Section: Resultsmentioning

confidence: 99%

The incidence of pulmonary neoplasms discovered by serial computed tomography scanning after endovascular abdominal aortic aneurysm repair

Harthun

Lau

2011

Journal of Vascular Surgery

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Serial CT scans may reveal a high rate of pulmonary malignancies in a population with AAAs. Attention to the incidental finding of pulmonary nodules on CT scans and arrangement of appropriate follow-up by the vascular surgeon is important for patients undergoing surveillance after endovascular AAA repair. These results indicate that aggressive management of these lesions (early thoracic surgery consultation and biopsy) is appropriate in this high-risk population and may offer early diagnosis and improved long-term survival.

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Section: Resultsmentioning

confidence: 99%

The incidence of pulmonary neoplasms discovered by serial computed tomography scanning after endovascular abdominal aortic aneurysm repair

Harthun

Lau

2011

Journal of Vascular Surgery

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“…Data available about the frequency of incidental findings in the abdomen derive from CT examinations performed in a search for renal calculi with low-dose CT, CT colonography for cancer screening, emergency CT in trauma patients, and CTA of the abdominal aorta and the lower extremities (16)(17)(18)(19)(20)(21)(22)(23)(24)(25)(26). Messersmith et al, evaluating 321 consecutive patients from the emergency department with non-contrast renal stone abdominal scans, found a 45% prevalence of incidental findings (half were rated of ''moderate or serious'' concern), however, they did not report on any malignancies (17 (28).…”

Section: Discussionmentioning

confidence: 99%

Incidental findings in computed tomographic angiography for planning percutaneous aortic valve replacement: advanced age, increased cancer prevalence?

2014

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“…On the other hand, incidental findings may lead to higher costs in healthcare and increased concern in patients because of additional examinations or treatment that may have to be performed to exclude or treat a diagnosis. [2][3][4] Literature is available on the workup for incidental findings on MDCTs of the thorax 5,6 and the abdomen, 7 on specific incidental findings, such as of the thyroid, 8 and on specific patient populations such as urological 9 and abdominal aneurysm 10 patients. In addition, several studies have evaluated the frequency of incidental findings in trauma populations.…”

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confidence: 99%

Incidental findings on routine thoracoabdominal computed tomography in blunt trauma patients

Vugt¹,

Dekker²,

Deunk³

et al. 2012

Journal of Trauma and Acute Care Surgery

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BACKGROUND:: Thoracoabdominal MultiDetector-row Computed Tomography (MDCT) is frequently used as a diagnostic tool in trauma patients. One potential side-effect of performing MDCT is the detection of incidental findings and their subsequent consequences on medical treatment. The objective was to evaluate frequency and effects of incidental findings in trauma patients. METHODS:: The reports of 1,047 consecutive blunt trauma patients (mean age, 40 years) who underwent routine contrast-enhanced thoracoabdominal MDCT were evaluated. Incidental findings were categorized by a trauma radiologist into four hierarchic categories based on their clinical consequences. We recorded additional diagnostic workup and treatment performed in conjunction with these incidental findings. RESULTS:: Of the 1,047 patients, 372 (mean age, 56 years; 61% male) had one or more incidental findings on thoracoabdominal MDCT. Complementary investigation or therapy was performed in 72 of these 372 patients; 29 of these patients required additional invasive evaluation or treatment. Nineteen patients underwent surgery due to an incidental finding. Nine patients were diagnosed with a not previously identified malignancy. CONCLUSIONS:: Routine thoracoabdominal MDCT in the evaluation of trauma patients revealed a significant number of incidental findings. Based on radiologic findings it is possible to decide whether additional follow-up or treatment is necessary.

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Incidence and significance of nonaneurysmal-related computed tomography scan findings in patients undergoing endovascular aortic aneurysm repair

Cited by 21 publications

References 14 publications

The incidence of pulmonary neoplasms discovered by serial computed tomography scanning after endovascular abdominal aortic aneurysm repair

The incidence of pulmonary neoplasms discovered by serial computed tomography scanning after endovascular abdominal aortic aneurysm repair

Incidental findings in computed tomographic angiography for planning percutaneous aortic valve replacement: advanced age, increased cancer prevalence?

Incidental findings on routine thoracoabdominal computed tomography in blunt trauma patients

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