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CT Angiography of the Circle of Willis and Carotid Arteries with Intravenous Contrast

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

A CT scan with IV contrast shows the carotid arteries and circle of Willis to help assess narrowing, blockage, aneurysms, and other vessel abnormalities.

Quick summary

["This test uses CT imaging and intravenous contrast to evaluate the major arteries supplying the brain."]

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

Key facts at a glance

LOINC
87856-1
Short code
CTA Circ of Willis+Carot aa W contr IV
Synonyms
CTA Circ of Willis+Carot aa 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 creates detailed pictures of blood vessels. In this study, contrast given through a vein helps visualize the carotid arteries in the neck and the circle of Willis at the base of the brain.

Why might I need this test?

Your clinician may order this test to evaluate suspected narrowing or blockage of arteries supplying the brain, especially after symptoms such as a transient ischemic attack or stroke. It may also be used to investigate a suspected aneurysm, abnormal blood flow, or other blood-vessel condition.

How is the test performed?

You lie on a CT scanner table while an IV line is placed and contrast is injected. The scanner takes several rapid images as the contrast moves through your arteries. You may be asked to hold your breath briefly and to remain still to keep the images clear.

How do I prepare for the test?

This test usually requires no special preparation, but follow your appointment instructions about eating, drinking, and medications. Tell the imaging team about any previous contrast reaction, kidney disease, pregnancy or possible pregnancy, and medicines such as metformin, because these factors may affect the instructions or contrast plan.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Abnormal findings may include narrowing, blockage, or an irregular appearance of the arteries supplying the brain. The test may also identify an aneurysm or arterial dissection. Results should be interpreted by a radiologist and reviewed with your clinician in the context of your symptoms and other tests.

Short name

CT angiogram of the head and neck arteries

Frequently asked questions

How is CT angiography different from a routine CT scan?
A routine CT scan may show general structures, while CT angiography uses injected contrast and specialized imaging to highlight blood vessels and their blood flow.
Can this test determine whether someone has had a stroke?
It can show a blockage or other cause of reduced blood flow to the brain, but it does not replace urgent assessment when stroke symptoms are present. Sudden weakness, speech difficulty, facial drooping, or vision changes require immediate emergency care.
Are there any risks from the contrast or radiation?
Most people tolerate the contrast and radiation well. Mild effects can include warmth, nausea, or a temporary headache, while allergic-like reactions and kidney-related problems are uncommon; tell the team about prior contrast reactions or kidney disease before the scan.
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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