Abstract

AbstractSuccessful arterial reconstructive surgery requires exact definition of the occlusive or aneurysmal process and the condition of the distal arterial tree. To define these two parameters, it is essential that arteriography be precise, yet it must be safe and reproducible. At our institution, we continue to utilize percutaneous needle arteriography because of its safety and excellent delineation of the vascular system. The purpose of this paper is to discuss our indications, techniques, and results of percutaneous arteriography for evaluation of peripheral arterial disease. During 1975, 1,253 percutaneous arteriograms were performed under general anesthesia by the surgical team. The techniques for carotid, vertebral (retrograde brachial), and femoral arteriograms, and translumbar aortograms will be reviewed. There were no deaths and only 8 (0.7%) complications. We believe that this technique provides an excellent method for good preoperative evaluation of the arterial system of the peripheral arteries and abdominal aorta.

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