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At least 19 recordsLinked to original sources
PubMed1977

Translumbar aortography: a study of its safety and usefulness.

We reviewed that clinical courses of 14,550 patients in whom translumbar aortography was performed. The principal aim of the survey was to determine the incidence of major and fatal complications attributable to this diagnostic study, as an index of its safety. We found that in this group, seven major (0.05%) and two fatal (0.014%) complications occurred. The corresponding incidences for transfemoral catheter aortography reported in the literature were found to be 1.34% and 0.06%, respectively. Translumbar aortography, when performed under the proper indications and appropriate conditions, has a degree of safety equal to or greater than that of transfemoral catheter aortography, and its diagnostic reliability within its technical scope is high.

Aortic Aneurysm↗
PubMed1976

Comparative study of ultrasound, 131I-19-iodocholesterol scintigraphy, and aortography in localising adrenal lesions.

Twenty-seven consecutive patients with endocrinological disease necessitating adrenal surgery underwent blind preoperative investigation with ultrasound, renal aortography, and adrenocortical scintigraphy for an adrenal lesion. Nine patients had pituitary-dependent Cushing's syndrome, five had pituitary-independent Cushing's syndrome, four had an adrenocortical androgenic excess, and nine had a preoperative diagnosis of phaeochromocytoma. The predictive value of preoperative ultrasound was 100% for a positive finding and 79% for a negative result. Preoperative aortography had a predictive value of 83% for a positive finding and 64% for a negative result; and the predictive value of adrenocortical scintigraphy was 100% for a positive finding and 85% for a negative finding. In localising biochemically suspected adrenal lesions ultrasound should be the first choice, since it is rapid, noninvasive, cheap, and reasonably accurate. Adrenocortical scintigraphy has a similar diagnostic value, especially in Cushing's syndrome, but it is time consuming. Nevertheless, it may be preferable for diagnosing small glucocorticoid-secreting adenomas. Aortography should be reserved for cases with inconclusive diagnoses and suspected extra-adrenal phaeochromocytomas.

Adolescent↗
PubMedDate not supplied

Improved techniques for lumbar aortography.

The use of a large volume technique (60-100 ml of contrast) for lumbar aortography is recommended for routine use in the investigation of peripheral arterial disease of the legs. With this method lesions are less likely to be missed and more information is obtained. Using the modern contrast media such as iothalamate, the complications due to contrast medium are not significantly greater than with the conventional volume technique. In Leriche syndrome, although the proximal end of the arterial occlusion can be demonstrated using conventional volume anortography, the distal end, and the arteries below the occlusion can usually only be shown by using a relatively large volume of contrast. Movement of a patient with a lumbar aortography needle in position is safe. Additional projections such as obliques to show the origins of the profunda femoris arteries or the arteries of the feet, can be taken if required. Complications due to stripping of the aortic wall are diminished if a blocked ended single side opening lumbar aortography needle is used.

Aortography↗
PubMed1976

Complications by translumbar aortography.

The complications resulting from different methods of translumbar aortography were evaluated by checking 1192 examinations performed with 1) a cannula, 2) a straight catheter, and 3) a curved catheter. The latter method was found to be far more safe than the other two. According to the complication rates found in the literature the curved catheter translumbar method is also safer than the transaxillar and comparable to transfemoral aortography by the Seldinger method.

Aortography↗
PubMed1977

Osteomyelitis following translumbar aortography.

Osteomyelitis of the lumbar spine occurred in a patient following translumbar aortography. Treatment included surgical drainage and systemic antibiotic therapy. Fever and progresive neurological dysfunction were relieved. There is controversy about the safety and efficacy of translumbar versus percutaneous transfemoral aortography. The translumbar route, is not the primary approach, is a reasonable alternative; bleeding complications are infrequent and infection is rare.

Aortography↗
PubMed1978

Computed tomography in the detection of retroperitoneal hemorrhage after translumbar aortography.

Direct imaging of retroperitoneal hemorrhage following translumbar aortography was performed using computed tomography. Seven patients were scanned over the area of aortic entry immediately after undergoing angiographic examination. In five cases, there was definite evidence of periaortic hematoma, most commonly seen as a discrete soft tissue density with absorption coefficients between +20 and +35 EMI units. Other signs of retroperitoneal bleeding were less consistently present (e.g., loss of aortic contour, aortic displacement, and thickening of diaphragmatic crura). The clinical implications of detecting significant hemorrhage following translumbar aortography are also discussed.

Aortography↗
PubMed1975

Translumbar aortography updated.

Although translumbar aortography is the oldest form of aortography, we belive it to be the procedure of choice in studying patients with aortoiliac and more distal peripheral vascular occlusive disease. It may be performed rapidly and easily and carried a low serious complication rate. The aorta should be punctured below the renal detail even in the feet, and some life threatening complications that have been reported when the aorta was punctured above the renal arteries may be avoided.

Adolescent↗
PubMed1977

[The merits of transaxillary aortography with a special catheter (author's transl)].

230 percutaneous transaxillary aortographies are described using a new type of catheter which simplifies the catherterization and diminishes complications. There is no difference between the complication rate of the transaxillary and the transfemoral techniques. The translumbal approach shows significantly more serious complications. Transaxillary rather than translumbal aortography seems to be the examination of choice in patients with bilateral femoral artery occlusive disease.

Aged↗
PubMed1978

Preoperative aortography before abdominal aortic aneurysmectomy?

A review of 100 consecutive patients undergoing abdominal aortic aneurysmectomy was made to assess the value and necessity of preoperative aortography. Comparison of arteriography with physical examination, plain roentgenograms and ultrasonography suggests that angiography is required only for evaluation of specific problems. Indications for the selective use of preoperative aortography are proposed.

Aneurysm↗
PubMed1979

Pitfalls in the plain film evaluation of the thoracic aorta: the mimicry of aneurysms and adjacent masses and the value of aortography. Part I. Transverse aortic arch.

In five instances, transverse aortic arch aneurysms were found that had initially, clinically and radiographically, mimicked thoracic neoplasms. Transverse aortic arch aneurysms display a wide spectrum of presentation: they may be asymptomatic, or they may cause symptoms secondary to esophageal, bronchial, vascular, or neural compression within the mediastinum and so mimic neoplasms. Conventional radiography in four projections and tomography are important components of the diagnostic evaluation of middle mediastinal masses. However, because plain film analysis is unable confidently to distinguish selected uncalcified aortic arch aneurysms from neoplasms, thoracic aortography is essential to the diagnosis.

Adult↗
PubMed1979

Pitfalls in the plain film evaluation of the thoracic aorta: the mimicry of aneurysms and adjacent masses and the value of aortography. Part II. Descending thoracic aorta.

Distinguishing posterior mediastinal and pulmonary masses from aneurysms and tortuosity of the descending thoracic aorta may be difficult, as five such cases illustrate. Both the neoplasms and the aortic aneurysms or tortuosity can compress the same vital mediastinal structures; thus, they may give rise to the same symptoms. Because the plain film findings may also be similar, aortography is essential to their diagnosis.

Aged↗
PubMed1977

Bleeding gastric ulcer in a newborn infant diagnosed by transumbilical aortography.

Transumbilical aortography has been utilized for the first time to diagnose the cause of massive upper gastrointestinal hemorrhage in a newborn infant. We consider it a safe and accurate method in cases that meet the following criteria: massive hemorrhage uncontrollable by blood transfusions and supportive medical therapy, and hemorrhage active at the time of study as indicated by fresh blood draining from nasogastric tube.

Aortography↗
PubMed1976

Oliguria in the incubating neonate. Emergency aortography and urography in neonates using mobile X-ray equipment.

Neonates in incubators underwent umbilical aortography, excretory urography and suprapubic cysto-urethrography using a mobile X-ray machine in the Premature Baby Unit to define the cause of their oliguria. The techniques were easy to perform without endangering the infants by moving them. The radiological findings in the four neonates investigated contributed significantly to the management of their illnesses.

Anuria↗
PubMed1979

Venous aortography--a forgotten technique.

A simple technique of venous aortography is described. Eleven patients were examined, 10 with suspected aortic aneurysms. The diagnosis was confirmed in six cases and the relationship of the aneurysm to the renal arteries shown in five of them. Three patients were shown to have a normal aorta. One patient with a suspected saddle embolus was shown to have a normal aorta and iliac arteries. There was one failure but there were no serious complications. The technique is a reliable and simple method of visualising arotic aneurysms, especially if subtraction prints are made.

Aorta, Abdominal↗
PubMed1976

[Translumbar aortography with curved radiopaque cathter (author's transl)].

The technique for translumbar aortography with radiopaque polyaetylen catheters has been modified by curving the catheter so that the catheter tip after puncture and withdrawal of the canule, will bend in the lumen of the aorta. This is a simple technique to ensure that the catheter tip is placed free intra-luminally and at the same time it permits a better downstream or upstream technique.

Aortography↗
PubMed1978

[A new method for direct measurement of the aortofemoral pressuregradient in connection with translumbar aortography (author's transl)].

A new method to measure simultaneously and directly the aorto-femoral pressure-gradient is described. The study can be performed in connection with translumbar aortography. In addition of being easy to perform the following advantages can be obtained by using this method: 1. Additional angiographic projections are unnecessary. 2. Informations regarding the absolute value of the aortofemoro pressure-gradient at rest and after maximal vasodilatation is obtained.

Aorta, Abdominal↗