The Place of Soft Tissue Arteriography

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Abstract
Arteriography has become an important and necessary procedure in the investigation of intracranial lesions, cardiovascular disorders, obliterative vascular diseases and in the study of certain renal disorders. More recently arteriographic techniques have been applied to the investigation of lesions in bone and the soft tissues which has added a great deal to our knowledge of the vascular patterns that may be encountered in various conditions (Dos Santos, 1950; Strickland, 1959; Lagergren and Lindbom, 1962). Though much of interest has emerged from arteriographic investigation, we wonder whether arteriography has any important role to play in the management of individual cases of peripheral soft tissue lesions. At the request of our clinical colleagues we have performed in the last five years 81 peripheral arteriograms in patients with soft tissue lesions. These were requested either because it was hoped that the procedure would be of help in reaching a diagnosis, or be of assistance in the surgical management. Latterly a number of arteriograms were carried out in cases of pyomyositis in a research project to study the aetiology of this condition as it has been suggested that vascular phenomena might play a part. About a third of the arteriograms were carried out in patients with malignant lesions; a third in various congenital vascular lesions and the remainder were patients with inflammatory conditions of the extremities or parasitic lesions.
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