March 20, 1967


JAMA. 1967;199(12):929-930. doi:10.1001/jama.1967.03120120117026

"Advances" in diagnostic technology are born virtually daily, but many succumb to the test of time. Angiography is one of the heartiest survivors, and time and experience have only increased the original enthusiasm with which it was hailed. Over the years of its rapidly expanding application, it has been confirmed as a reliable and valuable diagnostic tool. It has found its greatest use in the localization of space occupying intra-cranial lesions and intra-abdominal neoplasms, especially renal and hepatic tumors, and in the evaluation of stenosing lesions of the coronary and lower-limb arterial systems. No investigation of the young and, indeed, many of the older hypertensive patients is complete without renal angiography, to rule out the possible presence of a surgically correctible stenosing renal vascular lesion.1 However, the identification of stenosing atheromas requires an awareness of the limitations of clinical angiography as currently employed. Atherosclerotic lesions are often eccentrically located