Serial aortography in the study of peripheral vascular disease—a clinical-radiological study

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Abstract
The films of 23 patients who had been examined on two or more occasions by translumbar aortography were reviewed in relation to their clinical state. Radiological appearances were related to the clinical condition of individual limbs, assessed over intervals between X-ray examinations. Only unoperated limbs were considered. Twenty-nine limbs were observed over one or more intervals giving a total of 36 separate observation periods. In general clinical deterioration was associated with an extension of arteriographic disease although striking variations from these were seen. The patients form a group selected for the severity of their vascular disease and illustrate the natural history in its most progressive form. They provide striking confirmation of the spread of arterial lesions suggested by previous workers.