ACR AC Portal

Home Workup of Noncerebral Systemic Arterial Embolic Source

Variants

Known arterial occlusion in the mesenteric or renal arterial system or renal infarcts. Suspected embolic etiology. Next imaging study to determine source.

Documents

Scenario

Scenario ID

Procedure

Adult RRL

Peds RRL

Appropriateness Category

Arterial occlusion, renal arterial system, embolic etiology suspected, next imaging study, determine source

3195888

US echocardiography transesophageal

0 mSv
O

0 mSv [ped]
O

Usually appropriate

US echocardiography transthoracic resting

0 mSv
O

0 mSv [ped]
O

Usually appropriate

MRA chest and abdomen without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

MRI heart function and morphology without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

MRI heart function and morphology without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

CTA chest with IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually appropriate

CT heart function and morphology with IV contrast

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually appropriate

CTA chest and abdomen with IV contrast

10-30 mSv
☢☢☢☢

Usually appropriate

US duplex Doppler abdomen

0 mSv
O

0 mSv [ped]
O

May be appropriate

MRA chest and abdomen without IV contrast

0 mSv
O

0 mSv [ped]
O

May be appropriate

MRA chest without and with IV contrast

0 mSv
O

0 mSv [ped]
O

May be appropriate

MRA chest without IV contrast

0 mSv
O

0 mSv [ped]
O

May be appropriate

Aortography chest and abdomen

10-30 mSv
☢☢☢☢

Usually not appropriate