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Retrograde Thoracic Aortography

Retrograde Thoracic Aortography Retrograde thoracic aortography is a safe, simple method of opacifying and recording roentgenographically the thoracic aorta and its branches for the purpose of studying diseases intrinsic to these great vessels as well as those structures adjacent to their course. Technique Preliminary studies include a complete blood count; urinalysis; determination of blood urea nitrogen, bleeding and clotting times, and prothrombin time; electrocardiogram; and evaluation of the peripheral pulses. After adequate premedication, percutaneous catheterization of the femoral artery is carried out with local anesthesia using the Seldinger technique.1 Under fluoroscopic control, a No. 7 or 8 Teflon catheter is advanced over a spring guide into the ascending aorta until its tip lies approximately 2 cm above the valve. The negotiation of the arch is facilitated by a gentle preformed curve in the catheter tip. Upon withdrawal of the spring guide, 10 cc of blood is forcefully aspirated to remove any clot formation http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA American Medical Association

Retrograde Thoracic Aortography

JAMA , Volume 200 (9) – May 29, 1967

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Publisher
American Medical Association
Copyright
Copyright © 1967 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
0098-7484
eISSN
1538-3598
DOI
10.1001/jama.1967.03120220087017
Publisher site
See Article on Publisher Site

Abstract

Retrograde thoracic aortography is a safe, simple method of opacifying and recording roentgenographically the thoracic aorta and its branches for the purpose of studying diseases intrinsic to these great vessels as well as those structures adjacent to their course. Technique Preliminary studies include a complete blood count; urinalysis; determination of blood urea nitrogen, bleeding and clotting times, and prothrombin time; electrocardiogram; and evaluation of the peripheral pulses. After adequate premedication, percutaneous catheterization of the femoral artery is carried out with local anesthesia using the Seldinger technique.1 Under fluoroscopic control, a No. 7 or 8 Teflon catheter is advanced over a spring guide into the ascending aorta until its tip lies approximately 2 cm above the valve. The negotiation of the arch is facilitated by a gentle preformed curve in the catheter tip. Upon withdrawal of the spring guide, 10 cc of blood is forcefully aspirated to remove any clot formation

Journal

JAMAAmerican Medical Association

Published: May 29, 1967

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