Incidental findings during computed tomographic angiography diagnostic work-up in patients with arteriogenic erectile dysfunction
AIM To analyse the incidental findings during computed tomographic angiography (CTA) diagnostic work-up in patients with arteriogenic erectile dysfunction (ED). PATIENTS AND METHODS The medical records of all patients with suspected arteriogenic ED...
| Main Authors: | , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
SMW supporting association (Trägerverein Swiss Medical Weekly SMW)
2019-12-01
|
| Series: | Swiss Medical Weekly |
| Subjects: | |
| Online Access: | https://www.smw.ch/index.php/smw/article/view/2699 |
| _version_ | 1826997134416674816 |
|---|---|
| author | Jan Schönhofen Vignes Mohan Martin C. Schumacher Markus Bechir Hak H. Keo Heinz Schönhofen Thomas Joder Curt Diehm Christoph Kalka Nicolas Diehm |
| author_facet | Jan Schönhofen Vignes Mohan Martin C. Schumacher Markus Bechir Hak H. Keo Heinz Schönhofen Thomas Joder Curt Diehm Christoph Kalka Nicolas Diehm |
| author_sort | Jan Schönhofen |
| collection | DOAJ |
| description |
AIM
To analyse the incidental findings during computed tomographic angiography (CTA) diagnostic work-up in patients with arteriogenic erectile dysfunction (ED).
PATIENTS AND METHODS
The medical records of all patients with suspected arteriogenic ED were entered into a database. Risk factors and underlying comorbidities were also collected. Pathological CTA findings were extracted from the CT readings and entered into the database. Incidental findings on CTA were classified as those requiring immediate medical treatment, requiring deferred medical treatment or of no clinical importance.
RESULTS
A total of 200 patients underwent CTA for suspected arteriogenic ED. Mean patient age was 59.6 ± 11.7 years. Of these, 181 patients (90.5%) had obstructions of erection-related arteries. In 168 patients (84.0%), CTA showed multiple incidental pathological findings. Eighty-five of 200 patients (42.5%) exhibited incidental findings requiring immediate further medical workup and/or treatment: coronary artery calcification was diagnosed in 75/200 (37.5%), aorto-iliac aneurysms in 8/200 (4%) of patients and incidentally detected embolism in 1/200 patient. Pancreatic and liver tumours were less frequent (incidence 1.5% and 1%, respectively). Incidental findings requiring deferred medical workup and/or treatment were detected in 175/200 patients (87.5%). The findings with the highest prevalence were liver steatosis followed by colon diverticulosis and prostate hyperplasia. Findings of little to no clinical importance were reported in 117 (58.5%) patients. These included uncomplicated renal cysts, spinal degeneration and renal vascular anomalies. Almost every second patient presenting with ED had an incidental finding which required immediate treatment.
CONCLUSIONS
Incidental findings not directly related to ED were common among patients undergoing CTA scans for suspected arterial obstructions. Coronary artery calcification was the leading finding requiring further medical workup and/or treatment. Thus, the benefit of CTA investigations extends beyond the anatomic description of arterial obstructions of erection-related arteries.
|
| first_indexed | 2024-04-12T00:26:08Z |
| format | Article |
| id | doaj.art-f37ee764f1fa4d1983e7a11cfe91edb0 |
| institution | Directory Open Access Journal |
| issn | 1424-3997 |
| language | English |
| last_indexed | 2025-02-18T09:55:53Z |
| publishDate | 2019-12-01 |
| publisher | SMW supporting association (Trägerverein Swiss Medical Weekly SMW) |
| record_format | Article |
| series | Swiss Medical Weekly |
| spelling | doaj.art-f37ee764f1fa4d1983e7a11cfe91edb02024-11-02T09:11:09ZengSMW supporting association (Trägerverein Swiss Medical Weekly SMW)Swiss Medical Weekly1424-39972019-12-01149495010.4414/smw.2019.20154Incidental findings during computed tomographic angiography diagnostic work-up in patients with arteriogenic erectile dysfunctionJan Schönhofen0Vignes Mohan1Martin C. Schumacher2Markus Bechir3Hak H. Keo4Heinz Schönhofen5Thomas Joder6Curt Diehm7Christoph Kalka8Nicolas Diehm9Vascular Institute Central Switzerland, Aarau, SwitzerlandMax Grundig Klinik, Bühl/Baden, GermanyDepartment of Urology, Hirslanden Clinic Aarau, SwitzerlandDepartment of Internal Medicine, Hirslanden Clinic Aarau, SwitzerlandVascular Institute Central Switzerland, Aarau, SwitzerlandCentre of Radiology Baden, SwitzerlandCentre of Radiology Baden, SwitzerlandMax Grundig Klinik, Bühl/Baden, GermanyDepartment of Cardiovascular Medicine, Marienhospital, Bruehl, Germany.Vascular Institute Central Switzerland, Aarau, Switzerland AIM To analyse the incidental findings during computed tomographic angiography (CTA) diagnostic work-up in patients with arteriogenic erectile dysfunction (ED). PATIENTS AND METHODS The medical records of all patients with suspected arteriogenic ED were entered into a database. Risk factors and underlying comorbidities were also collected. Pathological CTA findings were extracted from the CT readings and entered into the database. Incidental findings on CTA were classified as those requiring immediate medical treatment, requiring deferred medical treatment or of no clinical importance. RESULTS A total of 200 patients underwent CTA for suspected arteriogenic ED. Mean patient age was 59.6 ± 11.7 years. Of these, 181 patients (90.5%) had obstructions of erection-related arteries. In 168 patients (84.0%), CTA showed multiple incidental pathological findings. Eighty-five of 200 patients (42.5%) exhibited incidental findings requiring immediate further medical workup and/or treatment: coronary artery calcification was diagnosed in 75/200 (37.5%), aorto-iliac aneurysms in 8/200 (4%) of patients and incidentally detected embolism in 1/200 patient. Pancreatic and liver tumours were less frequent (incidence 1.5% and 1%, respectively). Incidental findings requiring deferred medical workup and/or treatment were detected in 175/200 patients (87.5%). The findings with the highest prevalence were liver steatosis followed by colon diverticulosis and prostate hyperplasia. Findings of little to no clinical importance were reported in 117 (58.5%) patients. These included uncomplicated renal cysts, spinal degeneration and renal vascular anomalies. Almost every second patient presenting with ED had an incidental finding which required immediate treatment. CONCLUSIONS Incidental findings not directly related to ED were common among patients undergoing CTA scans for suspected arterial obstructions. Coronary artery calcification was the leading finding requiring further medical workup and/or treatment. Thus, the benefit of CTA investigations extends beyond the anatomic description of arterial obstructions of erection-related arteries. https://www.smw.ch/index.php/smw/article/view/2699atherosclerosisComputed Tomographycoronary artery calcificationerectile dysfunctionerectionincidental findings |
| spellingShingle | Jan Schönhofen Vignes Mohan Martin C. Schumacher Markus Bechir Hak H. Keo Heinz Schönhofen Thomas Joder Curt Diehm Christoph Kalka Nicolas Diehm Incidental findings during computed tomographic angiography diagnostic work-up in patients with arteriogenic erectile dysfunction Swiss Medical Weekly atherosclerosis Computed Tomography coronary artery calcification erectile dysfunction erection incidental findings |
| title | Incidental findings during computed tomographic angiography diagnostic work-up in patients with arteriogenic erectile dysfunction |
| title_full | Incidental findings during computed tomographic angiography diagnostic work-up in patients with arteriogenic erectile dysfunction |
| title_fullStr | Incidental findings during computed tomographic angiography diagnostic work-up in patients with arteriogenic erectile dysfunction |
| title_full_unstemmed | Incidental findings during computed tomographic angiography diagnostic work-up in patients with arteriogenic erectile dysfunction |
| title_short | Incidental findings during computed tomographic angiography diagnostic work-up in patients with arteriogenic erectile dysfunction |
| title_sort | incidental findings during computed tomographic angiography diagnostic work up in patients with arteriogenic erectile dysfunction |
| topic | atherosclerosis Computed Tomography coronary artery calcification erectile dysfunction erection incidental findings |
| url | https://www.smw.ch/index.php/smw/article/view/2699 |
| work_keys_str_mv | AT janschonhofen incidentalfindingsduringcomputedtomographicangiographydiagnosticworkupinpatientswitharteriogenicerectiledysfunction AT vignesmohan incidentalfindingsduringcomputedtomographicangiographydiagnosticworkupinpatientswitharteriogenicerectiledysfunction AT martincschumacher incidentalfindingsduringcomputedtomographicangiographydiagnosticworkupinpatientswitharteriogenicerectiledysfunction AT markusbechir incidentalfindingsduringcomputedtomographicangiographydiagnosticworkupinpatientswitharteriogenicerectiledysfunction AT hakhkeo incidentalfindingsduringcomputedtomographicangiographydiagnosticworkupinpatientswitharteriogenicerectiledysfunction AT heinzschonhofen incidentalfindingsduringcomputedtomographicangiographydiagnosticworkupinpatientswitharteriogenicerectiledysfunction AT thomasjoder incidentalfindingsduringcomputedtomographicangiographydiagnosticworkupinpatientswitharteriogenicerectiledysfunction AT curtdiehm incidentalfindingsduringcomputedtomographicangiographydiagnosticworkupinpatientswitharteriogenicerectiledysfunction AT christophkalka incidentalfindingsduringcomputedtomographicangiographydiagnosticworkupinpatientswitharteriogenicerectiledysfunction AT nicolasdiehm incidentalfindingsduringcomputedtomographicangiographydiagnosticworkupinpatientswitharteriogenicerectiledysfunction |