Skip to main content
. 2023 Jun 29;59(7):1223. doi: 10.3390/medicina59071223

Table 3.

Proposed CT angiography protocol (for the ruling out of coronary artery disease and pulmonary embolism).

Phase Details
Preparation Administer B-blockers until heart rate is <70 bpm (not appliable for the newest machines with 256+ slices)
Use venous canula of at least 20 G
Coronary Calcium Score ECG-gated, breathhold
Acquisition from tracheal carina until 2 cm under cardiac shadow on survey scans
Calcium score calculation using dedicated software
CT Angiography Injection protocol
Use contrast agent with concentration of 300–400 mg of iodine/mL
Two phase injection:
1. 80–120 mL of contrast media, 5–6 mL/s
2. 30–40 mL of saline, 5–6 mL/s
ECG-gated, breathhold
Acquisition from just over the aortic arch until 2 cm under the heart
Acquisition window 30–80%
Contrast monitor plane on the tracheal carina
Manual breathhold and acquisition start:
1. Breathhold command when pulmonary artery has maximum opacification
2. Start 3 s delay acquisition when aorta starts opacifying