THE PATTERN OF VASCULAR PATHOLOGY ON MULTIDETECTOR COMPUTERISED TOMOGRAPHY ANGIOGRAPHY IN KENYATTA NATIONAL HOSPITAL
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Objectives

To evaluate the pattern of findings of vascular pathology on CTA as seen at the national referral and teaching hospital, KNH.

 

Study design

Descriptive prospective study.

 

 

Setting of study

Radiology Department of Kenyatta National Hospital

 

 

Subjects studied

73 patients were evaluated with CTA during the study period from September 2008 to February 2009.

 

Results of the study

The male to female ratio was 1:12.  The mean age was 48.8 years, the median was 49.0 years and the range was 4 to 100 years.  Pathology was identified in 94.4% of the study subjects.  The vascular territories analysed were peripheral (both upper and lower limbs) 46.6%, renal 3.5%, thoracic aorta 9.6% abdominal aorta 16.4%, pulmonary vessels 8.2% and the carotid system 13.7%.  Those patients who smoked were 20(25.6%) and those who did not were 53 (75.4%).  The lower limb was evaluated in 85.7%.  There were 24.6% of patients with diabetes mellitus and 29.2% had hypertension.

 

 

Conclusion

 

CT Angiography is an accurate and reliable method of non-invasively assessing vascular diseases.  The noninvasive nature of this diagnostic test allows for detection that is time efficient for both the patient and health care providers.