A significant number of essayists continue to decry the use of arteriography in the diagnosis and localization of pheochromocytoma. They cite the dangers and even mortality of hypertensive crises. Our favorable experience with 12 examinations prompted a review of the literature in 99 cases of angiography of this tumor for a reevaluation of the procedure. All deaths (three) occurred in cases of translumbar examinations. No deaths have been reported with the transfemoral retrograde technique. Preprocedural use of phenoxybenzamine hydrochloride (Dibenzylene) and the use of less toxic contrast media have further reduced morbidity. In our opinion, arteriography is a safe and useful procedure for localization and at times for diagnosis of phenochromocytomas.
Rossi P, Young IS, Panke WF. Techniques, Usefulness, and Hazards of Arteriography of PheochromocytomaReview of 99 Cases. JAMA. 1968;205(8):547–553. doi:10.1001/jama.1968.03140340017004