Abstract
As angiographers, we often feel stabs of inadequacy when first reading the many articles promoting the use of CT angiography (CTA) for aneurysm detection. On the basis of the apparently outstanding accuracy of the technique, many centers routinely apply CTA for evaluating patients presenting with
Highlights
We often feel stabs of inadequacy when first reading the many articles promoting the use of CT angiography (CTA) for aneurysm detection
A quick back-of-the-envelope decision analysis, by using the 10% false-negative rate reported in those abstracts applied to a population with 75% prevalence of aneurysms, results in 2.5 additional deaths per 100 patients from rehemorrhage of undiagnosed ruptured aneurysms
One could argue that sending all patients with negative findings on CTA on to conventional angiography could “fix” the deficiency of CTA caused by its imperfect sensitivity
Summary
Death by Nondiagnosis: Why Emergent CT Angiography Should Not Be Done for Patients with Subarachnoid Hemorrhage We often feel stabs of inadequacy when first reading the many articles promoting the use of CT angiography (CTA) for aneurysm detection.
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