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Rotational Arch Aortography: Its Use in the Study of Extracranial Vascular Disease

Rotational Arch Aortography: Its Use in the Study of Extracranial Vascular Disease Abstract Arteriographic study of patients suspected of having extracranial cerebrovascular disease ideally includes visualization of the carotid, vertebral, and subclavian arteries, from the origin of the aorta to the entrance into the cranial vault. Although it is possible to inject contrast material directly into the carotid and vertebral arteries, or retrograde through the subclavian into the vertebrals, many have chosen to simplify the "four-vessel study" by a single injection into the arch of the aorta, usually through a catheter placed percutaneously via the femoral or brachial artery. However, an arch aortogram made in only one plane may be impossible to interpret because of the tortuosity and superimposition of the many arteries opacified and the study must be repeated in one or more different planes.1 This repeated injection of contrast material necessarily increases both the risk of complications and the discomfort to the patient.2,3 Rotational arch aortography4 is a References 1. Bussat PL: Thoracic aortography in cerebrovascular insufficiency: Report of 250 cases . Angiology 18:6-14, 1967.Crossref 2. DeBakey ME, Crawford ES, Fields WS: Surgical treatment of patients with cerebral insufficiency associated with extracranial arterial occlusive lesions . Neurology 2:145-149, 1961.Crossref 3. Sproul G, Pinto JM, Buster CD: Retrograde aortography: Screening method for cerebral vascular insufficiency . Amer J Roentgen 95:837-884, 1965.Crossref 4. Snider JR, Klopfenstein K, Mendelsohn EA, et al: Rotational arch aortography . Amer J Roentgen 100:341-343, 1967.Crossref 5. Viamonte M Jr, Gosselin AJ, Sommer LS: Coronary arteriography: Some observations on technique and interpretation . Amer J Roentgen 92:872-876, 1964. 6. Viamonte M Jr, Stevens RC: Guided angiography . Amer J Roentgen 94:30-39, 1965. 7. Seldinger SI: Catheter replacement of needle in percutaneous arteriography: New technique . Acta Radiol 39:368-376, 1953.Crossref 8. Abrams HL (ed): Angiography . Boston, Little Brown & Co, 1961, p 165. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

Rotational Arch Aortography: Its Use in the Study of Extracranial Vascular Disease

Archives of Surgery , Volume 100 (4) – Apr 1, 1970

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Publisher
American Medical Association
Copyright
Copyright © 1970 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1970.01340220158026
Publisher site
See Article on Publisher Site

Abstract

Abstract Arteriographic study of patients suspected of having extracranial cerebrovascular disease ideally includes visualization of the carotid, vertebral, and subclavian arteries, from the origin of the aorta to the entrance into the cranial vault. Although it is possible to inject contrast material directly into the carotid and vertebral arteries, or retrograde through the subclavian into the vertebrals, many have chosen to simplify the "four-vessel study" by a single injection into the arch of the aorta, usually through a catheter placed percutaneously via the femoral or brachial artery. However, an arch aortogram made in only one plane may be impossible to interpret because of the tortuosity and superimposition of the many arteries opacified and the study must be repeated in one or more different planes.1 This repeated injection of contrast material necessarily increases both the risk of complications and the discomfort to the patient.2,3 Rotational arch aortography4 is a References 1. Bussat PL: Thoracic aortography in cerebrovascular insufficiency: Report of 250 cases . Angiology 18:6-14, 1967.Crossref 2. DeBakey ME, Crawford ES, Fields WS: Surgical treatment of patients with cerebral insufficiency associated with extracranial arterial occlusive lesions . Neurology 2:145-149, 1961.Crossref 3. Sproul G, Pinto JM, Buster CD: Retrograde aortography: Screening method for cerebral vascular insufficiency . Amer J Roentgen 95:837-884, 1965.Crossref 4. Snider JR, Klopfenstein K, Mendelsohn EA, et al: Rotational arch aortography . Amer J Roentgen 100:341-343, 1967.Crossref 5. Viamonte M Jr, Gosselin AJ, Sommer LS: Coronary arteriography: Some observations on technique and interpretation . Amer J Roentgen 92:872-876, 1964. 6. Viamonte M Jr, Stevens RC: Guided angiography . Amer J Roentgen 94:30-39, 1965. 7. Seldinger SI: Catheter replacement of needle in percutaneous arteriography: New technique . Acta Radiol 39:368-376, 1953.Crossref 8. Abrams HL (ed): Angiography . Boston, Little Brown & Co, 1961, p 165.

Journal

Archives of SurgeryAmerican Medical Association

Published: Apr 1, 1970

References