CATHETER ARTERIOGRAPHY IN THE EVALUATION OF ABDOMINAL AORTIC ANEURYSMS

¹ Assistant Professor of Radiology, Tufts University School of Medicine
² Professor of Surgery, Tufts University School of Medicine

Retrograde femoral artery catheterization for abdominal aortic aneurysm, when performed by a careful technique, with curved guide wires and polyethylene J- catheters, was successful in 54 of 57 patients. No clinical complications were encountered. The use of this method gave information not only as to the size and location of the aneurysm, but also the presence of aberrant renal artery stenosis or aneurysm, the condition of the inferior mesenteric artery, the distal extent of the aneurysm, the presence of arteriovenous communication, and the existence of significant occlusive disease in the lower extremities. Arch aortography for evaluation of the vessels to the head was also performed frequently. Unlike the low-detail techniques such as intravenous aortography, which are mainly useful in confirming the presence of an aneurysm in the rare case where there is clinical doubt, the retrograde femoral technique safely provides sufficient anatomic information to justify its use in the evaluation of the patient being considered for aneurysm repair.

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