Atherosclerotic Abdominal Aortic Aneurysms on Computed Tomography Angiography: A Narrative Review on Spectrum of Findings, Structured Reporting, Treatment, Secondary Complications and Differential Diagnosis
Atherosclerotic abdominal aortic aneurysms (AAAs) are a common vascular pathology with significant morbidity and mortality risks. Timely diagnosis, accurate characterization, and standardized reporting are critical for effective management and monitoring of atherosclerotic AAAs. Imaging modalities,...
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MDPI AG
2025-03-01
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| author | Roberta Scicolone Kosmas I. Paraskevas Giovanni Argiolas Antonella Balestrieri Paolo Siotto Jasjit S. Suri Michele Porcu Cesare Mantini Massimo Caulo Salvatore Masala Filippo Cademartiri Roberto Sanfilippo Luca Saba |
| author_facet | Roberta Scicolone Kosmas I. Paraskevas Giovanni Argiolas Antonella Balestrieri Paolo Siotto Jasjit S. Suri Michele Porcu Cesare Mantini Massimo Caulo Salvatore Masala Filippo Cademartiri Roberto Sanfilippo Luca Saba |
| author_sort | Roberta Scicolone |
| collection | DOAJ |
| description | Atherosclerotic abdominal aortic aneurysms (AAAs) are a common vascular pathology with significant morbidity and mortality risks. Timely diagnosis, accurate characterization, and standardized reporting are critical for effective management and monitoring of atherosclerotic AAAs. Imaging modalities, particularly computed tomography angiography (CTA), play a pivotal role in the detection, treatment planning, and identification of both primary and secondary complications, as well as distinguishing AAAs from other etiologies. This narrative review provides a comprehensive exploration of the spectrum of imaging findings in atherosclerotic AAAs on CTA, underscoring the importance of structured reporting. Additionally, it examines therapeutic approaches and complications, and it differentiates AAAs from inflammatory, mycotic, and traumatic variants, serving as a primer for radiologists in AAA evaluation. |
| format | Article |
| id | doaj-art-7c9d65ae7f7b41f09a7fd2ba1558d176 |
| institution | DOAJ |
| issn | 2075-4418 |
| language | English |
| publishDate | 2025-03-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Diagnostics |
| spelling | doaj-art-7c9d65ae7f7b41f09a7fd2ba1558d1762025-08-20T02:42:42ZengMDPI AGDiagnostics2075-44182025-03-0115670610.3390/diagnostics15060706Atherosclerotic Abdominal Aortic Aneurysms on Computed Tomography Angiography: A Narrative Review on Spectrum of Findings, Structured Reporting, Treatment, Secondary Complications and Differential DiagnosisRoberta Scicolone0Kosmas I. Paraskevas1Giovanni Argiolas2Antonella Balestrieri3Paolo Siotto4Jasjit S. Suri5Michele Porcu6Cesare Mantini7Massimo Caulo8Salvatore Masala9Filippo Cademartiri10Roberto Sanfilippo11Luca Saba12Department of Radiology, University of Cagliari, Cagliari, ItalyDepartment of Vascular Surgery, Red Cross Hospital, Athens, GreeceDepartment of Radiology, Azienda Ospedaliera Brotzu, Cagliari, ItalyDepartment of Radiology, University of Cagliari, Cagliari, ItalyDepartment of Radiology, Azienda Ospedaliera Brotzu, Cagliari, ItalyStroke Division and Monitoring Division, AtheroPointTM, Roseville, CA, USADepartment of Radiology, University of Cagliari, Cagliari, ItalyDepartment of Radiology, “G. D’Annunzio” University, Chieti, ItalyDepartment of Radiology, “G. D’Annunzio” University, Chieti, ItalyDepartment of Radiology, University of Sassari, Sassari, ItalyDepartment of Imaging, IRCCS Synlab SDN, Napoli, ItalyDepartment of Vascular Surgery, University of Cagliari, Cagliari, ItalyDepartment of Radiology, University of Cagliari, Cagliari, ItalyAtherosclerotic abdominal aortic aneurysms (AAAs) are a common vascular pathology with significant morbidity and mortality risks. Timely diagnosis, accurate characterization, and standardized reporting are critical for effective management and monitoring of atherosclerotic AAAs. Imaging modalities, particularly computed tomography angiography (CTA), play a pivotal role in the detection, treatment planning, and identification of both primary and secondary complications, as well as distinguishing AAAs from other etiologies. This narrative review provides a comprehensive exploration of the spectrum of imaging findings in atherosclerotic AAAs on CTA, underscoring the importance of structured reporting. Additionally, it examines therapeutic approaches and complications, and it differentiates AAAs from inflammatory, mycotic, and traumatic variants, serving as a primer for radiologists in AAA evaluation.https://www.mdpi.com/2075-4418/15/6/706AAACTAruptureimpending ruptureEVARendoleak |
| spellingShingle | Roberta Scicolone Kosmas I. Paraskevas Giovanni Argiolas Antonella Balestrieri Paolo Siotto Jasjit S. Suri Michele Porcu Cesare Mantini Massimo Caulo Salvatore Masala Filippo Cademartiri Roberto Sanfilippo Luca Saba Atherosclerotic Abdominal Aortic Aneurysms on Computed Tomography Angiography: A Narrative Review on Spectrum of Findings, Structured Reporting, Treatment, Secondary Complications and Differential Diagnosis Diagnostics AAA CTA rupture impending rupture EVAR endoleak |
| title | Atherosclerotic Abdominal Aortic Aneurysms on Computed Tomography Angiography: A Narrative Review on Spectrum of Findings, Structured Reporting, Treatment, Secondary Complications and Differential Diagnosis |
| title_full | Atherosclerotic Abdominal Aortic Aneurysms on Computed Tomography Angiography: A Narrative Review on Spectrum of Findings, Structured Reporting, Treatment, Secondary Complications and Differential Diagnosis |
| title_fullStr | Atherosclerotic Abdominal Aortic Aneurysms on Computed Tomography Angiography: A Narrative Review on Spectrum of Findings, Structured Reporting, Treatment, Secondary Complications and Differential Diagnosis |
| title_full_unstemmed | Atherosclerotic Abdominal Aortic Aneurysms on Computed Tomography Angiography: A Narrative Review on Spectrum of Findings, Structured Reporting, Treatment, Secondary Complications and Differential Diagnosis |
| title_short | Atherosclerotic Abdominal Aortic Aneurysms on Computed Tomography Angiography: A Narrative Review on Spectrum of Findings, Structured Reporting, Treatment, Secondary Complications and Differential Diagnosis |
| title_sort | atherosclerotic abdominal aortic aneurysms on computed tomography angiography a narrative review on spectrum of findings structured reporting treatment secondary complications and differential diagnosis |
| topic | AAA CTA rupture impending rupture EVAR endoleak |
| url | https://www.mdpi.com/2075-4418/15/6/706 |
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