Abstract
Diagnostic imaging plays a key role in the accurate diagnosis and appropriate management of patients with thoraco-abdominal aortic diseases. During the last years, advances in ultrasound, computed tomography (CT), magnetic resonance (MR), and trans-oesophageal echocardiography have promoted new improvements in diagnosis. Multislice CT angiography (CTA) and MR angiography (MRA) have worldwide replaced digital subtraction angiography in the preoperative assessment of thoraco-abdominal aortic disease. At present, CTA is the preferred modality for preoperative planning and post-procedural follow-up, thanks to its speed, wide availability, and high accuracy. MRA represents a helpful alternative in selected cases, while contrast-enhanced ultrasonography is a promising tool for detection of the endoleak after endovascular aneurysm repair in abdominal aneurysms.
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