Arteriography of Peripheral Vessels

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Abstract
Direct and retrograde arteriography and various complications both local and systemic following arteriography are discussed. Aortography, both by the translumbar needle method and by the method of retrograde catheterization of the aorta, has been found to be a practical, safe, dependable, procedure. Because retrograde catheterization is not so simple and innocuous, it should not become a routine diagnostic procedure. Therefore, 5 major untoward reactions are cited; these include thrombosis of the external iliac artery, traumatic aneurysm of the femoral artery, supracondylar amputation, non-fatal cardiac arrest with femoral thrombosis, and death from aortic dissection. Translumbar needle aortography is simpler and less hazardous and should be the method of choice in all suitable cases. Retrograde arteriography should be restricted to those patients in whom it is difficult or impossible to introduce the radiopaque substance into the artery proximal to the lesion.