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March 1957

An Apparatus for Extended Aortography and Femoral Arteriography: Specifications and Roentgen Technique

Author Affiliations

St. Louis
Director, Department of Radiology, St. Anthony's Hospital, and Instructor in Radiology, St. Louis University School of Medicine. Formerly Assistant Chief of Radiology, U. S. Veterans Administration Hospital (Dr. Fries); Assistant Professor of Surgery, Washington University School of Medicine, and Chief of Surgery, U. S. Veterans Administration Hospital (Dr. Hershey).

AMA Arch Surg. 1957;74(3):394-398. doi:10.1001/archsurg.1957.01280090092012

The apparatus presented here has been a great help in our aortograms and arteriograms. Complete visualization of the femoral and popliteal arteries has been difficult to obtain from aortic injections, particularly when the abdominal aorta and iliac arteries are occluded. When the block of the lower aorta and iliac vessels is long or extensive, single film exposures after translumbar injection will not demonstrate femoral and popliteal arteries because the opaque medium traveling through the collateral circulation frequently arrives in the femoral vessels too dilute or too late. Previously, to visualize the femoral and popliteal arteries when the aorta is extensively blocked, it has been necessary to operate and explore the arteries and to get films after injection of radiopaque medium into the femoral arteries.

The present apparatus has made most of these operations unnecessary, since femoral and popliteal arteries can be demonstrated bilaterally after translumbar injection. Multiple films 14×36 in.