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 |