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February 23, 1952


JAMA. 1952;148(8):652-653. doi:10.1001/jama.1952.02930080062016

Reinaldo Dos Santos, a Portuguese urologist, reported in 1929 before the Surgical Society of Paris his technique of translumbar aortography and clinical experiences with this method of visualizing the abdominal aorta, its branches, and the arteries of the lower extremities. Dos Santos performed 300 abdominal aortographies without an accident. He later reported one instance of bleeding in 1,500 cases. In a recent review of the experiences with this method at the Presbyterian Hospital in New York City, Deterling1 reports no mortality in 100 aortographies. The needle hole readily seals itself because of the elasticity and thickness of the arterial wall. No hemorrhage was observed. Puncture through an atheromatous plaque is but rarely a cause of complication. The morbidity was minimal following injection of organic iodides.

Wagner and Price2 reported one fatality in their series of 50 abdominal aortographies. This was due to the needle entering the superior mesenteric