Do we really need a dedicated equipment to achieve a multiphase post-mortem CT angiography?

Objective To show the feasibility of full multiphase post-mortem CT angiography using the technique of ultrasound-guided femoral arterial puncture and a standard CT injector. Methods Three acquisitions were made in a case of unexplained death in a woman of 50 years. Each used a mixture of 50% water p.p.i. and 50% of iodinated contrast; the first and the last were made in the supine position, while the second was made in the prone position Results We were able to establish the normality of the entire vascular system, including the right coronary artery and venous system, which has eliminated the main causes of death. The autopsy was conducted subsequently, without being disturbed in any way by the post-mortem vascular injection, and confirmed the radiological findings. Conclusion This description, the first of a complete minimally invasive post-mortem angiography, strengthens the performance and utility of a simpler technique performed without special equipment.