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Thu Oct 18 16:47:50 BST 2007

In a message dated 10/18/2007 10:40:14 A.M. Central Daylight Time,  
karimbrohi at gmail.com writes:

The  quality of this reformat was miserable.  The quality of a  64-slice
well-timed CT is far from miserable, and I would not do an  aortogram
unless there was an area of doubt or if the injury involved the  arch
or ascending aorta.  However you do obviously do an aortogram at  the
start of stent placement anyway -  so...

Karim

............and I respect that.   However, I am aware of  significant numbers 
of stent grafts that have been placed on the basis of CT  findings (64 slice) 
alone into "normalish" aortas, or ones with trivial  injurys.   I consider 
that bad medicine.    I am also  aware of significant numbers of aortas which 
have been opened at an open  thoracotomy, based on CT alone and the aorta was 
found to be normal and patients  then did poorly post op, because of the un 
necessary  procedure.    VOMIT from CT (64 slice).   BAD 

k

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