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December 31, 1955


Author Affiliations

Rochester, Minn.

JAMA. 1955;159(18):1738-1739. doi:10.1001/jama.1955.02960350038009d

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Translumbar aortography has proved to be a useful diagnostic procedure, but it has some limitations. One of these is the difficulty in visualizing lesions of the upper abdominal aorta. To overcome this difficulty or to visualize suspected lesions of the thoracic aorta, the needle through which the contrast medium is to be injected has been introduced through the left posterior thoracic wall to pierce the aorta above the diaphragm. The following technique has been employed satisfactorily for six patients during the past year.


All food and drink is withheld for four to six hours before the procedure. The patient, with no premedication, is placed prone on a roentgenographic table with arms abducted and forearms flexed so that the left hand is near the face, which is turned to the left, A lead marker is placed over the spinous process of the fourth or fifth thoracic vertebra and

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