CT angiography of the neck and brain arteries (supra-aortic trunks, circle of Willis)
Centres/Radiology/CT scan/Brain and neck CT angiography

CT angiography of the neck and brain arteries (supra-aortic trunks, circle of Willis)

Brain and neck CT angiography in Tunis, Tunisia · Centre Urbain Nord

CT angiography of the neck and brain arteries in Tunis (circle of Willis): stroke, carotid stenosis, aneurysm, with an iodinated injection.

What is it?

CT angiography is a CT scan performed during a rapid injection of iodinated contrast, at the moment the contrast fills the arteries. It gives a precise image of the blood vessels without inserting a catheter into the arteries. CT angiography of the supra-aortic trunks examines the large neck arteries that run up to the brain (carotid and vertebral arteries). Brain CT angiography, or CT of the circle of Willis, examines the network of arteries at the base of the brain. It is requested particularly for stroke (in an emergency, to look for a blocked artery), to measure a narrowing of a carotid artery found on Doppler ultrasound, or to look for or monitor an aneurysm (a bulge in a brain artery).

When is it indicated?

Stroke

In an emergency, it looks for the blocked artery and helps decide on treatment to reopen it.

Carotid artery narrowing

It measures a stenosis found on Doppler ultrasound to help decide on treatment.

Brain aneurysm

It looks for or monitors a bulge in a brain artery.

Neck artery dissection

After sudden neck pain, it looks for a tear in the wall of an artery.

Preparation

1Tell us if you are pregnant or think you might be: a CT scan uses X-rays
2Remove necklaces, earrings, hair clips and removable dentures
3If an injection is planned, tell us about any allergy (especially to an iodinated contrast agent), kidney disease, diabetes or myeloma; a recent blood test (creatinine) may be requested
4Tell us if you take metformin (a diabetes treatment): whether to pause it around the injection is decided by the doctor
5If an injection is planned, do not eat for a few hours beforehand, as instructed when you book; your usual medicines can generally be taken with a little water
6Bring any Doppler ultrasound of the neck arteries and previous examinations

Procedure

1

A drip is placed in your arm; you lie on your back with your head supported

2

You lie on a table that slides slowly through a wide, open ring: it is not a closed tunnel

3

The contrast agent is injected quickly: the feeling of warmth is normal and passes within seconds

4

You need to keep still and not swallow during the pass, which only lasts a few seconds

5

The radiographer can see and hear you at all times from the next room

6

You can then return to your usual activities; after an injection, drink plenty of fluids during the day (unless your doctor advises otherwise) to help clear the contrast agent

Duration

About 10 to 20 minutes in total

Results

The images are analysed by a radiologist, who writes a report. The report is given to you with the images and sent to your doctor, who will explain the results and the next steps. You will be told when to expect it on the day of the examination.

Precautions and contraindications

A CT scan uses X-rays: the dose is set as low as possible while still giving useful images, and the examination is only done when it is justified
Pregnancy: a relative contraindication; a CT scan is only performed if it is essential, after medical advice
Allergic reaction to the iodinated contrast agent (if injected): rare and usually mild (redness, itching); serious reactions are exceptional and the team is trained to manage them
In case of kidney failure, the iodinated injection can strain the kidneys: the doctor avoids or adjusts it
Rarely, the contrast agent can leak under the skin at the drip site: temporary swelling, easily managed

Your doctor and the radiology team will inform you in detail before the examination. Feel free to ask them your questions.

This information is general and does not replace the advice of your doctor, who chooses the examination suited to your situation.

Related searches

  • Brain and neck CT angiography Tunis
  • Brain and neck CT angiography Tunisia
  • Brain and neck CT angiography in Tunisia
Request a quoteBook an appointment