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Article
August 1953

TRANSLUMBAR AORTOGRAPHY AS A DIAGNOSTIC AID IN LOCALIZING ARTERIAL EMBOLI

Author Affiliations

COLUMBUS
From the Department of Surgery, the College of Medicine and the Surgical Service, the Medical Center, Ohio State University.

AMA Arch Surg. 1953;67(2):164-174. doi:10.1001/archsurg.1953.01260040169006
Abstract

ACUTE ARTERIAL emboli carry a grave prognosis and commonly lead to gangrene of the extremity. These emboli usually originate in the left auricular appendage in persons with rheumatic disease of the mitral valve.

Aortography has not been extensively employed in the location of arterial occlusion from emboli.1 However, its use as a diagnostic aid in localizing renal and suprarenal tumors has been of benefit to the urologist for over two decades.2 Although the technique of this procedure is not new, its help in localizing the point of block in arterial disease has become popular only in the past few years.3 In the treatment of patients with arteriosclerosis obliterans it is an extremely useful tool in determining the location and extent of the arteriosclerotic thrombi. Leriche and associates,4 Wylie,5 and others have described a technique of intimal stripping for treating these patients, in which they emphasize

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