RETROGRADE AORTOGRAPHY

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Abstract
As a screening method for extracranial disease in stroke, retrograde aortography appears readily applicable despite the general arteriosclerotic state of the patients studied. It seems relatively free of major complication and demonstrates significant disease consistently. Retrograde aortography appears to offer the maximum diagnostic result with minimum trauma to the patient and the critical vessels studied. The vagaries of clinical selection of surgical candidates by physical findings or neurologic localization have been emphasized. The frequency of multiple lesions has become apparent and the use of 4 vessel visualization is urged. With liberal application of this screening method, an appreciable number of lesions will be found that are amenable to surgical treatment.

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