Kanter, Ira E.; Fleming, Richard J.
May 1967
Angiology;May1967, Vol. 18 Issue 5, p334
Academic Journal
Recent advances in the technique of percutaneous arterial catheterization have made possible the consistent catheterization of the aorta and its branches in all ages of patients. The development of small focal-spot magnification radiography has given some hope of eventually visualizing extremely small vascular branches with arteriography. Continued research into the ideal contrast material will hopefully made available a more dense, less viscous and less toxic means of arterial visualization. Our early experience with Isopaque-440 is presented and would indicate that, in aortography, its low viscosity is advantageous when compared with other contrast material of high iodine content. It is too soon to make valid comments on its relative toxicity clinically. The role of various pharmacologic agents in aortography has opened a whole new field of investigation. In our experience, serious complications due to percutaneous arterial catheterization in an unselected population are about 2% with rare sequelae. This figure can be reduced somewhat by relying on only experienced arteriographers. We have demonstrated the clinical application of abdominal aortography in four patients with acute and chronic upper gastrointestinal hemorrhage, in whom the diagnosis was unobtainable by any other means except, perhaps, Iaparotomy.


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