Clinical Evaluation of Intravenous Abdominal Aortography and Peripheral Arteriography

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Abstract
A practical intravenous method of abdominal aortography and peripheral arteriography, making use of physiologic principles learned during angiocardiography, is described. This method has distinct advantages over the translumbar abdominal aortic injection route, which has sometimes been associated with serious complications and occasionally death. Rapid and simultaneous injection of concentrated organic iodides can be made by injection into both arms with special syringes attached to Robb-Steinberg cannular. If dosages of 1 ml/kg of body weight are used, the reaction to injection of large quantities of the contrast material will be well tolerated. Conventional roentgen equipment is all that is required for the intravenous method of abdominal aortography and peripheral arteriography. Aneurysmal and occluslve disease of the abdominal aorta and branches can be readily diagnosed. Traumatic, congenital, and neoplastlc diseases of the abdominal aorta can also be demonstrated. Finally, modification of the Robb-Stelnberg method of intravenous injection of concentrated contrast material, by making a double simultaneous injection, renders possible the visualization not only of the central cardiovascular system (the great veins, the chambers of the heart, the pulmonary circulation, and the thoracic aorta) but also the abdominal aorta, peripheral arteries, and cerebral vessels. Thus, total visualization of the circulatory system is achieved.