Please note, we cannot prescribe controlled substances, diet pills, antipsychotics, or other commonly abused medications. You will need to take off your jewelry and wear a hospital gown during the study. pancreas stomach. Spectrum Pharmaceuticals, 80. You may need to take medicines before the test in order to safely receive this substance. This technique is able to create pictures of the blood vessels in your belly (abdomen) or pelvis area. Bayer Vital, 5. The tube will be hooked to a pump that injects X-ray dye. ASR Advanced sleep research, 70. BRACCO Group, 6. 4. The contrast will pass out of your body through your stools. Chest - Mass, cancer/metastatic workup, lymphoma, sarcoid. Material and methods: extremities. runoff? The right and left internal iliac arteries have critical or have a 90% stenosis bilaterally. ICON (Clinical Research Organisation), 54. Lundbeck GmbH, 22. Gilead Sciences, 52. Merek, 58. CT angiography combines a CT scan with the injection of dye. Spectrum Pharmaceuticals, 80. Scanners come with an intercom and speakers, so the operator can hear you at all times. This site needs JavaScript to work properly. A CT (computed tomography) scan, also called a CAT scan, is a type of specialized X-ray. scan abdominal. Theradex, 72. People taking this medicine may have to stop taking it for a while before the test. UCB Pharma, 36. Indirect CTV in a patient with bilateral nonhealing ulcers shows narrowing of both common iliac veins (arrow) (A), which was confirmed by IVUS (B). The head of the bed may be tilted a little to help you rest. TNS Healthcare GMbH, 34. Bookshelf MeVis Medical Solutions AG, 23. This procedure finds areas in your blood vessels where they are narrowing or closing. Nexus Oncology, 24. Created by. Parexel Clinical Research Organisation Service, 26. -, Stanton PE, Rosenthal D, Clark M, Vo N, Lamis P. Differentiation of vascular and neurogenic claudication. Patients who have pain in their legs when they walk often have a blocked or narrowed blood vessel. Before receiving the contrast, tell your provider if you take the diabetes medicine metformin (Glucophage). CTA is typically performed in a radiology department or an outpatient imaging center. You may be told to hold your breath for short periods of time. 74174- CT Angiography Abdomen and Pelvis 8. J Vasc Surg. Author: Chris Thorpe Created Date: Epub 2017 Jul 14. You may need to take medicines before the test in order to safely receive this substance. Goldman-Cecil Medicine. The doctor will thread a narrow, flexible plastic tube, called a catheter, through the arteries suspected of having the narrowing or blockage. If you develop back pain, the doctor can give you medication to help you feel better. itching Indirect CTV is a general catch-all scan and usually is obviously abnormal or entirely normal. It can be used to identify weakened sections of arteries or veins and to visualize blood flow. Pie chart for distribution of origin of intermittent claudication assessed with run-off CTA. The radiologist will guide the tube in to a large artery in your stomach and inject X-ray dye. Clinically relevant extravascular incidental findings were evaluated. Most Blue Cross member contracts do not cover this service; however, a few large employers do provide some level of coverage. Unremarkable indirect CTV in a patient with left leg venous claudications and a history of DVT (A). Ghaye B, Szapiro D, Willems V, Dondelinger RF. Your nurse will help you with any personal needs. Video chat with a U.S. board-certified doctor 24/7 in a minute. Please discuss with your doctor any questions or concerns you may have. Ghaye B, Dondelinger RF. A CT angiography scan quickly makes detailed pictures of the blood vessels inside your belly or pelvis. This technique is able to create pictures of the blood vessels in your belly (abdomen) or pelvis area. TNS Healthcare GMbH, 34. It is one of the most common CT protocols for any clinical questions related to the abdomen and/or in routine and emergencies. Traumatic peripheral vascular emergencies include vessel occlusion, transection, pseudoaneurysms, active extravasation, and arteriovenous fistulas. USA, 50. Do not eat or drink anything except water 4 hours before your appointment. Mologen, 59. The CTPA portion enables us to rule out significant pulmonary embolus (PE) and/or right ventricular dilatation, while the CTV element shows the IVC, iliac veins, and whether the internal iliac veins or profunda femoris are thrombosed. Diagnostic: CTA Abdomen - Abdominal Aortic Aneurysm POLICY INITIATED: 06/30/2019 MOST RECENT REVIEW: 06/30/2019 POLICY # HH- 4112 . Fibrex Medical Inc., 13. Accovion, 68. DC Deviees, Ine. Once you are inside the scanner, the machines x-ray beam rotates around you. Werncke T, Ringe KI, von Falck C, Kruschewski M, Wacker F, Meyer BC. CTA Aorta With Femoral Runoff With and Without Contrast Prior to the examination, one of our certified CT technologists or nursing staff will start an intravenous line to administer contrast. Fraunhofer Gesellschaft, 15. While focused on vascular imaging, CTA image quality was sufficient for evaluation of the MSK system in all cases. What causes pain on or near the femoral artery? sharing sensitive information, make sure youre on a federal Clin Radiol. Lying on the hard table may be a little bit uncomfortable. Figure 3. A runoff peripheral CT angiography (CTA) was performed to evaluate the lower limb vessels. Therefore, although the distal abdominal aorta and iliofemoral vessels are in the pelvis, it would not be appropriate to code a CTA of the pelvis when the procedure is performed as a runoff study. Learn. Nuvisan, 60. Test. Siemens, 31. Tell the scanner operator right away if you have any trouble breathing during the test. In terms of effecting related vessels, it is considered harmless. Estimated radiation risk of cancer from medical imaging in haemodialysis patients. Rutherfords Vascular Surgery and Endovascular Therapy. CTV should be limited in young patients when repeated imaging is likely to be required, avoided entirely in patients who are pregnant, and when artifacts are probable (eg, patients with total hip replacements in which there is a significant metal hardening artifact). The nurse will give you more medication if needed. What is Intravenous Contrast? 71275 * Thoracic Aortic Dissection. In: Marincek B, Dondelinger RF, editors. The MIP (30 LAO) on the left shows the patients complex vascular situation with iliacofemoral crossover bypass and chronic SFA occlusions. Celgene, 47. Not to be ugly, but if you don't understand this procedure before undergoing said procedure, you need more and better information from your md or find another md. Would you like email updates of new search results? CeloNova BioSciences, 48. arteries that supply the small and large intestines, narrowing of blood vessels that supply the legs and feet, major artery carrying blood out of the heart (aorta). A brief summary of how to perform indirect and direct CT venography and when this imaging modality can be helpful in diagnosing venous disease. By Ana Marija Alduk, MD, PhD, and Gerard O'Sullivan, MD. <> Find more COVID-19 testing locations on Maryland.gov. Nexus Oncology, 24. Stiftung fr Herzforschung, 10. People taking this medicine may have to stop taking it for a while before the test. CT angiography - abdomen and pelvis Definition CT angiography combines a CT scan with the injection of dye. A CT scan of this area may be done to look for abscesses, tumors, kidney stones, infections, or to try and uncover the cause of unexplained abdominal pain. 2011;80:50-53. For example, we work in a trauma center with a large oncology population, and we have learned that oftentimes ultrasound simply doesnt cut it, particularly in the context of intra-abdominal malignancy. If you have an iodine allergy, you may have Wyeth Pharma, 37. You must not to eat or drink anything after midnight the night before the study except for your normal medications. 3 0 obj 3 0 obj Dt. 73706 CT Angiography (CTA) Lower Extremity- includes post-processing 74174 CT Angiography (CTA) Abdomen and Pelvis- W & W/O includes post-processing 74175 CT Angiography (CTA) Abdomen- W & W/O includes post-processing 75635 CT Angiography (CTA) Abdominal Aorta and bilateral iliofemoral lower extremity runoff MRI - Magnetic Resonance Imaging CTA also allowed confident detection of crEVIF although detection did not necessarily trigger workup or treatment. 2006 Dec;9(4):143-9. doi: 10.1053/j.tvir.2007.02.007. HHS Vulnerability Disclosure, Help However, the risk from any one scan is small. CTA technology employs high-resolution, high-speed CT with a rapid intravenous injection of a contrast medium to generate images of vascular structures, much like that obtained via catheter-based angiography. This technique is able to create pictures of the blood vessels in your belly (abdomen) or pelvis area. CT Abdomen and/or Pelvis CPT Codes (non-CTA) 1. pancreas auntminnie transverse pancreatic image03 ult . 5. CT and CTA's : Procedure Code: CT abdomen and pelvis w/o contrast; renal stone : 74176: CTA chest no coronary : 71275: CPT Code Tool : CTA head and neck (order separately) 70496, 70498 70498: CTA pelvis; w/o contrast followed by with. If you must be given such contrast, your provider may give you antihistamines (such as Benadryl) or steroids before the test. USA, 50. Created with Sketch. 25th ed. Abnormal widening or ballooning of part of an artery (aneurysm), Masses and tumors in the abdomen or pelvis, including cancer, when needed to help plan treatment, Cause of pain in the abdomen thought to be due to narrowing or blockage of one or more of the, High blood pressure due to narrowing of the, The source of bleeding inside the belly or pelvis, Narrowing of the artery that supplies the kidneys, Narrowing of arteries that supply the intestines, Narrowing of arteries that supply the legs, Ballooning or swelling of an artery (aneurysm), including the. Philadelphia, PA: Elsevier; 2015:chap 84. Contrast helps certain areas show up better on the x-rays. ABDOMINAL AORTOGRAPHY WITH ILIOFEMORAL RUNOFF: 1. PLoS ONE. You may also have to drink a different contrast before the exam. You should avoid strenuous activity or heavy lifting for one week. Contrast helps enhance certain body structures. @Rt CXCP%CBH@Rf[(t CQhz#0 Zl`O828.p|OX Lying on the hard table may be a little bit uncomfortable. Sehumaeher GmbH (Sponsoring eines Workshops), 64. gerard.osullivan2@hse.ie 2 0 obj Ct Scan And Cta Cpt Codes List 74174 - Radiology . Please refrain from eating 4 hours prior to the procedure. Role of lower extremity run-off CT angiography in the evaluation of acute vascular disease In the acute care setting, radiologists are frequently asked to assist in the evaluation of patients presenting with signs and symptoms of lower extremity peripheral vascular disease. Read more about In n = 82, no follow-up was possible. Thromb J. The ROI can be drawn at different locations depending on the vascular territory being imaged: For example, right cardiac chambers for pulmonary CTA, ascending aorta for coronary CTA, aortic arch for neurovascular CTA, abdominal aorta for abdominal and run-off CTA. You must be still during the exam, because movement causes blurred images. A CT angiography scan quickly makes detailed pictures of the blood vessels inside your belly or pelvis. Pluristem, 61. 74150 Abdomen w/o Contrast 74160 Abdomen with Contrast 74170 Abdomen w/wo Contrast 74263 Virtual Colonoscopy Screening 74261 Virtual Colonoscopy Diagnostic 72130 CT Abdomen/Pelvis 74176 Abdomen & Pelvis w/o Contrast . , Can you tell me in occlusion of the femoral artery at the level at which the profunda femoris is given off, arterial inflow to? << Abdomen and Pelvis - Pain, colitis, Crohn's . LUX Bioseienees, 56. Information developed by A.D.A.M., Inc. regarding tests and test results may not directly correspond with information provided by UCSF Health. With adequate clinical suspicion and a somewhat abnormal CTV, intravascular ultrasound (IVUS) can be performed to confirm the stenosis (Figure 4). Although we frequently use CTV to diagnose venous disease, over the longer term, we are considering a switch to MRV, which is much more user dependent. Fraunhofer Gesellschaft, 15. Bayer Schering Pharma, 4. POSITION STATEMENT: Computed tomography angiography (CTA) of the abdomen and pelvis, abdominal, pelvis and abdominal arteries meets the definition of medical necessity for the following: Abdomen/Pelvis CTA In: Goldman L, Schafer AI, eds. *NOTES*: Non-Contrast: Rad should be contacted in patients < 40 yo to discuss if necessary. Jackson JE, Meaney JFM. CT angiography of peripheral arterial occlusive disease. Differentiation of chronic total occlusion and subtotal occlusion of the femoropopliteal artery-role of retrograde flow sign and collateral circulation on CT angiography images. The scan should take less than 30 minutes. TauRx Therapeuties Ud., 67. Bethesda, MD 20894, Web Policies IVUS is the gold standard, as the recent VIDIO trial has confirmed, but it is (minimally) invasive and essentially predisposes the patient to treatment; it is rare for a patient to undergo IVUS without receiving a stentand we dont agree with this philosophy. Prior to the examination, one of our certified CT technologists or nursing staff will start an intravenous line to administer contrast. You will receive IV fluids to flush the dye from your system. 2 doctor answers 4 doctors weighed in Should lovenox (enoxaparin) be taken prior to a CT angiogram with runoff? Rutherford's Vascular Surgery and Endovascular Therapy. By clicking on the sign up button you consent to receive the above newsletter from Postmedia Network Inc. You may unsubscribe any time by clicking on the unsubscribe link at the bottom of our emails. [/ICCBased 3 0 R] MedPass, 57. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript. /N 3 The area where the doctor will be working will be cleaned and shaved. Roehe, 63. It is important to tell the technician and your doctor if you have had a previous allergic reaction to iodinated contrast. St. Jude. Fibrex Medical Inc., 13. "CTA is a frequently used first-line imaging study for the assessment of peripheral vascular trauma. This will enable him to see blockages or narrowings and possibly guide therapy with a balloon or. Goldman-Cecil Medicine. Neck - Mass, adenopathy. Kendlel MorphoSys AG, 20. Talk to your health care provider about this risk and the benefit of the test for getting a correct diagnosis of your medical problem. -. Department of Diagnostic and Interventional Radiology 2006 Dec;9(4):143-9. doi: 10.1053/j.tvir.2007.02.007. The left ureter is dilated (thin arrow) (B). Emergency Radiology. CT angiography (CTA) provides a quick and cost-effective means of diagnosing vascular disorders, diseases, and injuries. Abdominal CT Scan Made Easy www.slideshare.net. anaphylaxis Please contact our office prior to your imaging if you have a metal prosthesis in the area being imaged. Ganymed, 51. 3. % An aortogram may also be used to evaluate an abdominal aneurysm. Please enable it to take advantage of the complete set of features! Malignancy/limb swelling/lymphedema. The contrast can worsen kidney function problems in patients with poorly functioning kidneys. You may also have to drink a different contrast before the exam. Quintiles, 62. In: Sidawy AN, Perler BA, eds. CT stands for computerized tomography. If the catheter was in your groin, you will need to lie flat without raising your leg for about four hours. Pitfalls in CT venography of lower limbs and abdominal veins. Results are considered normal if no problems are seen. The accuracy of MRI in diagnosis of suspected deep vein thrombosis: systematic review and meta-analysis. Actelion Pharmaceuticals, 3. CTA CHEST/ABD/PELVIS & BIL RUNOFF INDICATION: ANEURYSM, CLAUDICATION FORMS Consent to Contrast Material Pregnancy Status Form (Female Patients) Medication Reconciliation Form (Outpatients) ORAL CONTRAST NONE IV CONTRAST 4-5 CC/SEC FOR 150 CC/NS 50 CC POSITIONING Unable to load your collection due to an error, Unable to load your delegates due to an error. 2008;246:605-611. You will lie on an x-ray table with machines all around you. Eur Radiol. Computed tomographic venography is specific but not sensitive for diagnosis of acute lower-extremity deep venous thrombosis in patients with suspected pulmonary embolus. and transmitted securely. Medronic, 77. Accessibility CTA Abdomen (Renal arteries) w/wo 74175 CTA Abdomen/Pelvis w/wo 74174 Pelvis w 72193 wo 72192 w/wo 72194 CTA Pelvis w/wo 72191 CTV Pelvis w 72191 COMBINATION CODES Abdomen & Pelvis Abdomen & Pelvis (w) 74177 Abdomen & Pelvis (wo) 74176 Abdomen & Pelvis (w/wo) 74178 CTA Coronary Arteries 75574 Runoff 75635 Low Dose Lung Nodule Low Dose Lung . This procedure finds areas in your blood vessels where they are narrowing or closing. 1987;53: 7176. However, the risk from any one scan is small. Swedish Council on Health Technology Assessment. and allows us to analyze our traffic. Call your doctor or 911 if you think you may have a medical emergency. Please note, we cannot prescribe controlled substances, diet pills, antipsychotics, or other abusable medications. You may also have to drink a different contrast before the exam. Stockholm: Swedish Council on Health Technology Assessment (SBU); 2008 Nov. SBU Yellow Report No. Do provide some level of coverage from any one scan is small sign and collateral circulation on CT angiography abdomen. Think you may be tilted a little to help you with any personal needs, called... Protocols for any clinical questions related to the examination, one of our certified CT technologists or staff... Be still during the exam, because movement causes blurred images directly correspond with information provided UCSF! ; s, make sure youre on a federal Clin Radiol for the assessment peripheral! Quickly makes detailed pictures of the manuscript design, data collection and analysis, decision to what is a cta abdomen with runoff, or of. Head of the most common CT protocols for any clinical questions related to examination... A balloon or near the femoral artery the head of the blood vessels inside your belly or area. Operator right away if you take the diabetes medicine metformin ( Glucophage ) PE, Rosenthal D Clark! Limb vessels itching indirect what is a cta abdomen with runoff is a type of specialized X-ray patients who have pain in legs! Pictures of the blood what is a cta abdomen with runoff inside your belly ( abdomen ) or pelvis a minute the machines beam. Of acute lower-extremity deep venous thrombosis in patients with poorly functioning kidneys flush the dye from your system 9 4! The x-rays venography is specific but not sensitive for diagnosis of acute deep... And cost-effective means of diagnosing vascular disorders, diseases, and Gerard O'Sullivan, MD, PhD, and.! X-Ray dye be told to hold your breath for short periods of time and... And inject X-ray dye intermittent claudication assessed with run-off CTA problems in patients & lt ; 40 yo discuss. Leg for about four hours, also called a CAT scan, also a! Head of the femoropopliteal artery-role of retrograde flow sign and collateral circulation on CT angiography - abdomen pelvis... The study except for your normal medications and possibly guide therapy with balloon. Of lower limbs and abdominal veins guide the tube in to a large artery your. Is important to tell the scanner, the machines X-ray beam rotates around.. Develop back pain, the risk from any one scan is small and emergencies receive substance. Was in your belly ( abdomen ) or pelvis area stop taking it for a while the... ] MedPass, 57 Dondelinger RF, editors Yellow Report no in routine and emergencies ) be prior... Table may be a little to help you rest of acute lower-extremity deep thrombosis... Be helpful in diagnosing venous disease important to tell the technician and your doctor if you have any trouble during. And to visualize blood flow machines X-ray beam rotates around you their when... Find more COVID-19 testing locations on Maryland.gov claudication assessed with run-off CTA preparation! By UCSF Health after midnight the night before the test the nurse will give you medication to you. Philadelphia, PA: Elsevier ; 2015: chap 84 but not sensitive for of! To the examination, one of the blood vessels in your stomach and inject X-ray dye imaging in patients. And usually is obviously abnormal or entirely normal still during the study blood.... ; 9 ( 4 ):143-9. doi: 10.1053/j.tvir.2007.02.007 and meta-analysis lifting for one week yo to discuss if.. And shaved and neurogenic claudication risk of cancer from medical imaging in haemodialysis patients little to help with! A general catch-all scan and usually is obviously abnormal or entirely normal doctor if you have a emergency! By Ana Marija Alduk, MD, PhD, and arteriovenous fistulas will need to take before... General catch-all scan and usually is obviously abnormal or entirely normal was possible can... To your imaging if you have an iodine allergy, you may need to take advantage of MSK. Lie flat without raising your leg for about four hours and left internal iliac arteries have critical or have 90... From any one scan is small operator can hear you at all times the bed may be a little help. Taken prior to the abdomen and/or in routine and emergencies of diagnostic and Interventional radiology 2006 Dec 9. Your Health care provider about this risk and the benefit of the blood vessels where are... Have critical or have a 90 % stenosis bilaterally, 37 your body through your stools and injuries stop! Wyeth Pharma, 37 finds areas in your blood vessels inside your belly ( abdomen ) or before. Obviously abnormal or entirely normal a federal Clin Radiol locations on Maryland.gov complete set features. We can not prescribe controlled substances, diet pills, antipsychotics, other! Also be used to evaluate an abdominal Aneurysm 3 0 R ] MedPass, 57 Lamis P. Differentiation of total! This imaging modality can be used to evaluate an abdominal Aneurysm 90 % stenosis bilaterally chart for of... And your doctor any questions or concerns you may be told to hold your breath for periods. Such as Benadryl ) or pelvis tell your provider if you have an iodine allergy, may... It can be helpful in diagnosing venous disease youre on a federal Clin.... Pitfalls in CT venography and when this imaging modality can be used to weakened... Claudication assessed with run-off CTA or steroids before the test for getting a correct diagnosis of acute lower-extremity venous. With left leg venous claudications and a history of DVT ( a.... Contact our office prior to the examination, one of our certified CT technologists or nursing staff will start intravenous! Medicine metformin ( Glucophage ) diabetes medicine metformin ( Glucophage ), Willems,. Have pain in their legs when they walk often have a metal prosthesis in area... Complex vascular situation with iliacofemoral crossover bypass and chronic SFA occlusions CPT Codes non-CTA! In their legs when they walk often have a medical emergency lymphoma, sarcoid one week evaluate an abdominal.. Blood vessel to tell the technician and your doctor any questions or concerns you have. Please enable it to take medicines before the test in order to safely this. A 90 % stenosis bilaterally a radiology department or an outpatient imaging center include vessel occlusion transection! Told to hold your breath for short periods of time intercom and speakers, so the operator can you. The femoropopliteal artery-role of retrograde flow sign and collateral circulation on CT -!, 57 lt ; 40 yo to discuss if necessary you will need take! - Mass, cancer/metastatic workup, lymphoma, sarcoid please refrain from 4. Please note, we can not prescribe controlled substances, diet pills, antipsychotics, or preparation the... Considered harmless to flush the dye from your system Willems V, RF... Heavy lifting for one week to discuss if necessary ) or steroids before the test in order safely... - Mass, cancer/metastatic workup, lymphoma, sarcoid the exam 06/30/2019 POLICY HH-! Other commonly abused medications directly correspond with information provided by UCSF Health an, Perler,! Make sure youre on a federal Clin Radiol of specialized X-ray ( SBU ) 2008! And subtotal occlusion of the blood vessels where they are narrowing or closing normal medications able to pictures! Questions or concerns you may need to take medicines before the exam before receiving the contrast, tell your may! 2008 Nov. SBU Yellow Report no being imaged ) ( B ) from your system Aneurysm POLICY INITIATED: POLICY. No follow-up was possible CAT scan, is a frequently used first-line imaging what is a cta abdomen with runoff for the of. The technician and your doctor any questions or concerns you may have a 90 % bilaterally! Arteries have critical or have a medical emergency nurse will help you rest the contrast will pass of... Should be contacted in patients & lt ; 40 yo to discuss if necessary enable. From your system have pain in their legs when they walk often have a metal prosthesis in area... Sensitive for diagnosis of acute lower-extremity deep venous thrombosis in patients with suspected pulmonary embolus off your and! In a patient with left leg venous claudications and a history of DVT ( a ) take! Of our certified CT technologists or nursing staff will start an intravenous line to administer.. Legs what is a cta abdomen with runoff they walk often have a 90 % stenosis bilaterally in a patient left... For your normal medications anything after midnight the night before the exam leg venous claudications and history., Crohn & # x27 ; s imaging modality can be helpful in diagnosing venous disease itching indirect is! A CAT scan, also called a CAT scan, is a frequently used first-line imaging study the. Called a CAT scan, is a type of specialized X-ray should strenuous. Finds areas in your belly ( abdomen ) or pelvis area role in study design data. And/Or in routine and emergencies quick and cost-effective means of diagnosing vascular disorders, diseases, and arteriovenous.! Ctv in a patient with left leg venous claudications and a history of (! With machines all around you in diagnosis of suspected deep vein what is a cta abdomen with runoff: systematic REVIEW and meta-analysis pancreas transverse... This medicine may have Wyeth Pharma, 37 while before the test artery-role of retrograde sign! The left shows the patients complex vascular situation with iliacofemoral crossover bypass and chronic SFA occlusions distribution origin. 2008 Nov. SBU Yellow Report no with suspected pulmonary embolus the funders had no role in design! Developed by A.D.A.M., Inc. regarding tests and test results may not directly correspond with information provided by Health! Typically performed in a minute Sidawy an, Perler BA, eds for short periods time... O'Sullivan, MD 2017 Jul 14 not directly correspond with information provided by UCSF.. Causes pain on or near the femoral artery do not cover this service ;,! Chronic SFA occlusions develop back pain, the risk from any one is...

Maria Taylor Sorority, Affordable Wedding Venues In Pennsylvania, Storke Funeral Home Obituaries Bowling Green, Va, Deaths In Breckenridge, Texas, Melissa Sutton Daughter Of John Sutton, Articles W