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Intramural Aortic Dissection as a Complication of Translumbar Aortography

Intramural Aortic Dissection as a Complication of Translumbar Aortography Abstract The recent enthusiasm for the treatment of aortic and peripheral vascular occlusive disease by direct surgical methods has led to a renewed interest in the use of translumbar aortography, as earlier described by dos Santos and his colleagues3 in 1929. In addition to being employed in the diagnosis of occlusive disease, translumbar aortography has been found valuable in the diagnosis and evaluation of renal disease, intra-abdominal masses of unknown nature, and abdominal and pelvic arteriovenous communications. Concomitant with the rather broad employment of this procedure, numerous reports of diverse complications have been recorded.1,2,4-7,9,11,13-18 Although most of the complications of translumbar aortography are of a transient nature and do not produce serious consequences, some are of extremely grave severity. Since translumbar aortography is now widely used, it seems pertinent to call attention to still another complication, intramural aortic dissection, which has not been emphasized in Previous reports. This complication References 1. Abeshouse, B. S., and Tiongson, A. T.: Paraplegia, a Rare Complication of Translumbar Aortography , J. Urol. 75:348, 1956. 2. Boyarsky, S.: Paraplegia Following Translumbar Aortography , J. A. M. A. 156:599, 1954.Crossref 3. dos Santos, R.; Lamas, A., and Pereira Caldas, J.: Arteriografia da aorta e dos vasos abdominais , Med. contemp. 47:93, 1929. 4. Fineberg, C.; Schechter, D. C., and Barrick, C. W.: Gangrene of the Large Intestine and Ovaries After Translumbar Aortography , J. A. M. A. 167:1232, 1958.Crossref 5. Fry, W. J.: Acute Renal Failure and Death Following Aortography , Univ. Michigan M. Bull. 20:201, 1954. 6. Gaylis, H., and Laws, J. W.: Dissection of Aorta as a Complication of Translumbar Aortography , Brit. M. J. 2:1141, 1956.Crossref 7. Grossman, L. A., and Kirtley, J. A.: Paraplegia After Translumbar Aortography , J. A. M. A. 166:1035, 1958.Crossref 8. Idbohrn, H., and Berg, N.: On Tolerance of the Rabbit's Kidney to Contrast Media in Renal Angiography: A Roentgenologic and Histologic Investigation , Acta radiol. 42:121, 1954.Crossref 9. Josselson, A. J., and Kaplan, J. H.: Fatal Reaction Following Aortography with Neo-Iopax , J. Urol. 72:256, 1954. 10. Lapides, J., and Bobbitt, J. M.: Preoperative Estimation of Renal Function , J. A. M. A. 166:866, 1958.Crossref 11. Larsson, H., and Palmlöv, A.: Abdominal Aortography with Special Reference to Its Complications , Acta radiol. 38:111, 1952.Crossref 12. Lord, J., in discussion on Trippel, and others,17 p. 164. 13. McAfee, J. G., and Willson, J. K. V.: A Review of the Complications of Translumbar Aortography , Am. J. Roentgenol. 75:956, 1956. 14. McAfee, J. G.: A Survey of Complications of Abdominal Aortography , Radiology 68:825. 1957.Crossref 15. McCormack, J. G.: Paraplegia Secondary to Abdominal Aortography , J.A.M. A. 161:860, 1956.Crossref 16. Smith, P. G.; Rush, T. W., and Evans, A. T.: An Evaluation of Translumbar Aortography , J. Urol. 65:911, 1951. 17. Trippel, O.; Bernhard, V.; Hohf, R., and Laufman, H.: Considerations in the Accuracy and Safety of Arteriography , Surgery 41:153, 1957. 18. Wagner, F. B., and Price, A. H.: Fatality After Abdominal Aortography: Prevention by New Modification of Technique , Surgery 27:621, 1950. 19. Weisman, A. D., and Adams, R. D.: Neurological Complications of a Dissecting Aneurysm , Brain 67:69, 1944.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png A.M.A. Archives Surgery American Medical Association

Intramural Aortic Dissection as a Complication of Translumbar Aortography

A.M.A. Archives Surgery , Volume 78 (4) – Apr 1, 1959

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Publisher
American Medical Association
Copyright
Copyright © 1959 American Medical Association. All Rights Reserved.
ISSN
0096-6908
DOI
10.1001/archsurg.1959.04320040123026
Publisher site
See Article on Publisher Site

Abstract

Abstract The recent enthusiasm for the treatment of aortic and peripheral vascular occlusive disease by direct surgical methods has led to a renewed interest in the use of translumbar aortography, as earlier described by dos Santos and his colleagues3 in 1929. In addition to being employed in the diagnosis of occlusive disease, translumbar aortography has been found valuable in the diagnosis and evaluation of renal disease, intra-abdominal masses of unknown nature, and abdominal and pelvic arteriovenous communications. Concomitant with the rather broad employment of this procedure, numerous reports of diverse complications have been recorded.1,2,4-7,9,11,13-18 Although most of the complications of translumbar aortography are of a transient nature and do not produce serious consequences, some are of extremely grave severity. Since translumbar aortography is now widely used, it seems pertinent to call attention to still another complication, intramural aortic dissection, which has not been emphasized in Previous reports. This complication References 1. Abeshouse, B. S., and Tiongson, A. T.: Paraplegia, a Rare Complication of Translumbar Aortography , J. Urol. 75:348, 1956. 2. Boyarsky, S.: Paraplegia Following Translumbar Aortography , J. A. M. A. 156:599, 1954.Crossref 3. dos Santos, R.; Lamas, A., and Pereira Caldas, J.: Arteriografia da aorta e dos vasos abdominais , Med. contemp. 47:93, 1929. 4. Fineberg, C.; Schechter, D. C., and Barrick, C. W.: Gangrene of the Large Intestine and Ovaries After Translumbar Aortography , J. A. M. A. 167:1232, 1958.Crossref 5. Fry, W. J.: Acute Renal Failure and Death Following Aortography , Univ. Michigan M. Bull. 20:201, 1954. 6. Gaylis, H., and Laws, J. W.: Dissection of Aorta as a Complication of Translumbar Aortography , Brit. M. J. 2:1141, 1956.Crossref 7. Grossman, L. A., and Kirtley, J. A.: Paraplegia After Translumbar Aortography , J. A. M. A. 166:1035, 1958.Crossref 8. Idbohrn, H., and Berg, N.: On Tolerance of the Rabbit's Kidney to Contrast Media in Renal Angiography: A Roentgenologic and Histologic Investigation , Acta radiol. 42:121, 1954.Crossref 9. Josselson, A. J., and Kaplan, J. H.: Fatal Reaction Following Aortography with Neo-Iopax , J. Urol. 72:256, 1954. 10. Lapides, J., and Bobbitt, J. M.: Preoperative Estimation of Renal Function , J. A. M. A. 166:866, 1958.Crossref 11. Larsson, H., and Palmlöv, A.: Abdominal Aortography with Special Reference to Its Complications , Acta radiol. 38:111, 1952.Crossref 12. Lord, J., in discussion on Trippel, and others,17 p. 164. 13. McAfee, J. G., and Willson, J. K. V.: A Review of the Complications of Translumbar Aortography , Am. J. Roentgenol. 75:956, 1956. 14. McAfee, J. G.: A Survey of Complications of Abdominal Aortography , Radiology 68:825. 1957.Crossref 15. McCormack, J. G.: Paraplegia Secondary to Abdominal Aortography , J.A.M. A. 161:860, 1956.Crossref 16. Smith, P. G.; Rush, T. W., and Evans, A. T.: An Evaluation of Translumbar Aortography , J. Urol. 65:911, 1951. 17. Trippel, O.; Bernhard, V.; Hohf, R., and Laufman, H.: Considerations in the Accuracy and Safety of Arteriography , Surgery 41:153, 1957. 18. Wagner, F. B., and Price, A. H.: Fatality After Abdominal Aortography: Prevention by New Modification of Technique , Surgery 27:621, 1950. 19. Weisman, A. D., and Adams, R. D.: Neurological Complications of a Dissecting Aneurysm , Brain 67:69, 1944.Crossref

Journal

A.M.A. Archives SurgeryAmerican Medical Association

Published: Apr 1, 1959

References