By Prof. Dr. W. Wenz (auth.)
The terrific but uncomplicated inspiration of introducing a catheter percutaneously into an artery, with out first dissecting it unfastened, utilizing a versatile advisor cord, has ended in a really innovative step forward in belly x-ray diag nosis (SELDINGER, 1953). meanwhile, equipment and strategies for injecting distinction media into numerous vessels became mostly standardized; innumerable guides have seemed which take care of each plausible element of angiographic process and interpretation. This quantity is designed to offer our adventure with stomach angiography. We intentionally kept away from any systematic dialogue of the genitourinary tract, which has been accurately handled within the literature, additionally with appreciate to angiographic findings. Our curiosity within the retroperitoneal sector is predicated generally on its value in differential analysis. In ten years of angiographic task, our division had made profitable use of an easy procedure which appears to be like compatible additionally for smaller hospitals. we want to indicate its diagnostic power and, whilst, to stipulate its boundaries. Our adventure embraces 2804 belly angiograms, which we now have labeled in keeping with scientific and morphologic anatomical standards. Their diagnostic interpretation has been in comparison with the surgical or histopathological effects. this can aid others to prevent error of the kind which we came across in our personal paintings. Angiographic analysis calls for not just familiarity with common radiographic anatomy, but in addition particular wisdom of angiographic patho morphology. we have now attempted to spot these beneficial properties which typify the person findings and to derive therefrom legitimate generalizations through uncomplicated sketches.
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Additional info for Abdominal Angiography
4, where the only open passages are the afferent artery of a residual kidney and the stenosed inferior mesenteric. The patient was a 42-year-old man with hypertension and peripheral circulatory disorders who weighed 82 kg and had no digestive complaints of any kind. This case shows that it is impossible to draw inferences regarding the clinical picture from the arteriogram. We therefore reviewed our patient records with respect to stenoses and occlusions of visceral arteries. Localization and distribution of obliterating visceral vascular diseases with clinical symptoms in 769 consecutive aortographies (Radiology Department, Surgical Clinic, University of Heidelberg, 1961-1969).
52). The vascular bridges. Normally, these anastomoses aneurysms may rupture, causing hemorrhage are of small caliber and serve only to supply into the perirenal, retroperitoneal or intraperi- blood to the area in which they are distributed. toneal spaces. Hemorrhage may be a terminal Under certain pathologic conditions, however, event in this disease. Angiography is a diagnos- these insignificant vessels form large collateral tic test for assessment of the extent of patholo- systems, which often possess a surprisingly gic involvement, or to locate the site of acute large capacity.
Most of the patients presented with arterial obstructions in the lower extremities. Occlusions Celiac artery Common hepatic artery Gastroduodenal artery Splenic artery Superior mesenteric artery Middle colic artery Ileal and jejunal arteries Inferior mesenteric artery Proximal stenosis Peripheral stenosis Total 5 5 2 9 4 3 6 7 I 6 7 2 19 I 8 3 2 2 13 25 21 9 55 2 I Among the 769 patients so evaluated, there were 167 with stenoses and occlusions of visceral arteries, of whom only the 55 (7%) listed in the table reported abdominal complaints.
Abdominal Angiography by Prof. Dr. W. Wenz (auth.)