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CT Angiography of the Aortic Arch With Intravenous Contrast

Published: August 9, 2026Updated: August 16, 2026

A CT angiogram uses IV contrast and detailed images to examine the aortic arch and nearby blood vessels for narrowing, aneurysm, dissection, or calcification.

Quick summary

["This imaging test provides a detailed view of the aortic arch to evaluate its structure and nearby blood vessels."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 16, 2026Editorial policy

Key facts at a glance

LOINC
36144-4
Short code
CTA Ao arch W contr IV
Synonyms
CTA Ao arch W contr IV
Category
liver
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
ct-angio
Specimen volume
5 mL
Stability
Room temperature: 4h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
4–24 hours
Order
routine

What is this test?

CT angiography, or CTA, is an imaging test that uses computed tomography and intravenous contrast to produce detailed pictures of blood vessels. For this test, the focus is the aortic arch, the curved portion of the main artery carrying blood away from the heart.

Why might I need this test?

A clinician may order this test to evaluate an aortic aneurysm, unexplained chest or back pain, or symptoms suggesting a blood-vessel problem. It may also be used to monitor an aortic condition or plan treatment for an abnormality.

How is the test performed?

You will lie on a CT scanner table while the machine takes many rapid images. Intravenous contrast is usually injected through a vein to highlight the aorta and surrounding vessels, and you may be asked to hold your breath briefly during image capture.

How do I prepare for the test?

Follow the instructions provided by the imaging center, including any fasting or medication guidance. Tell the care team about kidney problems, prior reactions to imaging contrast, and pregnancy or possible pregnancy, because these factors may affect the use of contrast and the testing plan.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Abnormal findings may include an aneurysm, narrowing, a dissection, or calcification involving the aortic arch or nearby vessels. The appearance and severity of a finding depend on your symptoms, medical history, and the full imaging study, so the radiologist's report and your clinician's interpretation are important.

Short name

Aortic Arch CT Angiography

Frequently asked questions

Is this test the same as a routine CT scan?
It is a specialized CT examination called CT angiography. Intravenous contrast is used to make the aorta and nearby blood vessels easier to see.
Does the test require an IV line?
Usually, yes. Contrast is injected through a small intravenous line, and the staff may monitor you briefly afterward to check for any reaction.
Will I be exposed to a substantial amount of radiation?
CT angiography uses ionizing radiation, and the amount varies with the type of scan and your body size. The imaging center follows protocols designed to obtain the needed images while limiting unnecessary exposure.
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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 16, 2026. · Read our editorial policy