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CT Angiography, Thoracic Aortic Aneurysm, With and Without Intravenous Contrast

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

This CT scan uses contrast to examine the thoracic aorta and assess a possible aneurysm, helping evaluate its size and extent and guide treatment.

Quick summary

["The test helps doctors evaluate the thoracic aorta and determine the extent of an aneurysm or related blood-vessel problems."]

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

Key facts at a glance

LOINC
87857-9
Short code
CTA TA + AA WO+W contr IV
Synonyms
CTA TA + AA WO+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 X-ray images and intravenous contrast to examine blood vessels. In this case, it is used to evaluate the thoracic aorta, the main artery carrying blood from the heart through the chest, and look for an aortic aneurysm.

Why might I need this test?

This test may be ordered to assess a thoracic aortic aneurysm found on another imaging study or to monitor its size. It can also help evaluate nearby blood vessels, plan surgery or another procedure, or investigate symptoms such as sudden chest or back pain when other conditions are being considered.

How is the test performed?

You lie on a CT table while the scanner takes detailed pictures. If contrast is used, it is given through a vein in your arm, and the scan is timed to capture the arteries after the contrast circulates through the bloodstream.

How do I prepare for the test?

Follow the imaging center's instructions, as fasting or blood tests may be required in some cases. Tell the care team about prior contrast reactions, kidney disease, pregnancy, implanted devices, and medications such as metformin so they can provide appropriate instructions.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

The images can show the presence, size, and extent of an aneurysm and may identify aortic dissection, narrowing, calcification, or involvement of nearby vessels. These findings help determine the urgency of follow-up and may influence whether monitoring or a procedure is appropriate. The care team should interpret the results together with symptoms, medical history, and other imaging studies.

Short name

Thoracic aortic aneurysm CT angiography

Frequently asked questions

Is this the same as a routine CT scan?
No. CTA is specifically timed to examine blood vessels, often with intravenous contrast, so it provides more detailed information about the aorta than a standard CT scan.
Will I need an IV line?
Usually, if intravenous contrast is part of the examination, contrast is injected through a small IV line placed in your arm.
What if I have kidney disease or a previous contrast reaction?
Tell the imaging team before the test. They can review your history, adjust the examination or contrast plan, and arrange any needed monitoring.
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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