Additional Experiences with Direct Percutaneous Noncatheter Brachial Angiography—Left Panarteriography—Right Cerebral Angiography

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Abstract
Additional experience in performing a new method of angiography is presented. One hundred and seventy-five patients have been examined without any mortality or serious morbidity. It is felt that this technic will advance angiography to its full extent. The time required for performing angiography has been significantly decreased and the incidence of complications has been substantially lowered. Direct noncatheter right brachial angiography provides complete visualization of the right carotid-cerebral and vertebro-basilar systems. With pressure applied to the right common carotid artery, the left common carotid and left vertebral arteries can be seen in some patients. The complete cerebral and basilar arterial system can be demonstrated by applying pressure to the left common carotid artery during right brachial injection. Direct left percutaneous noncatheter brachial injection affords excellent opacification of the thoracic and abdominal aorta and renal, iliac, and femoral arteries in an antegrade fashion. Renal arteriography can be performed quickly and safely with the same or better contrast than from percutaneous transfemoral renal arteriography. Carbon dioxide vesical left brachial arteriography gives good visualization of the vessels that supply the wall of the bladder.

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