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Aortography
B. Translumbar aortography shows near-total obstruction of the femoral arteries in a patient with Monckeberg's arteriosclerosis.
ICD-9-CM
88.42
MeSH
D001027
[edit on Wikidata]
Aortography involves placement of a catheter in the aorta and injection of contrast material while taking X-rays of the aorta. The procedure is known as an aortogram. The diagnosis of aortic dissection can be made by visualization of the intimal flap and flow of contrast material in both the true lumen and the false lumen. The catheter has to be inserted through the right femoral artery, because in about two-thirds of cases the aortic dissection spreads into the left common iliac artery.
The aortogram was previously considered the gold standard test for the diagnosis of aortic dissection,[1] with a sensitivity of up to 80% and a specificity of about 94%.[2] It is especially poor in the diagnosis of cases where the dissection is due to hemorrhage within the media without any initiating intimal tear.
The advantage of the aortogram in the diagnosis of aortic dissection is that it can delineate the extent of involvement of the aorta and branch vessels and can diagnose aortic insufficiency. The disadvantages of the aortogram are that it is an invasive procedure and it requires the use of iodinated contrast material.[3]
Aortography has largely been replaced by the diagnostic tools of MRI, CT, and transesophageal echocardiography (TEE) all of which have high sensitivities.[4] TEE is favored in emergency situations, as it is relatively non-invasive and a rapid procedure (more so than MRI, which can takes hours).[5][6]
^Holloway, B J; Rosewarne, D; Jones, R G (December 2011). "Imaging of thoracic aortic disease". The British Journal of Radiology. 84 (3): S338–S354. doi:10.1259/bjr/30655825. PMC 3473913. PMID 22723539.
^Wilbers, Christopher R.H.; Carrol, Clark L.; Hnilica, Mark A. (1990). "Optimal Diagnostic Imaging of Aortic Dissection". Texas Heart Institute Journal. 17 (4): 271–278. ISSN 0730-2347. PMC 324936. PMID 15227519.
^The Task Force for the Diagnosis and Treatment of Aortic Diseases of the European Society of Cardiology (ESC) (1 November 2014). "2014 ESC Guidelines on the diagnosis and treatment of aortic diseases". European Heart Journal. 35 (41): 2873–2926. doi:10.1093/eurheartj/ehu281. PMID 25173340.
^Creager, Mark A.; Braunwald, Eugene (2013). Atlas of Vascular Disease. Springer Science & Business Media. p. 40. ISBN 9781475745641.
^Khan, Ali Nawaz (13 May 2016). "Aortic Dissection Imaging". Medscape. WebMD.
^Neskovic, A. N.; Hagendorff, A.; Lancellotti, P.; Guarracino, F.; Varga, A.; Cosyns, B.; Flachskampf, F. A.; Popescu, B. A.; Gargani, L.; Zamorano, J. L.; Badano, L. P. (13 December 2012). "Emergency echocardiography: the European Association of Cardiovascular Imaging recommendations". European Heart Journal - Cardiovascular Imaging. 14 (1): 1–11. doi:10.1093/ehjci/jes193. PMID 23239795.
Aortography involves placement of a catheter in the aorta and injection of contrast material while taking X-rays of the aorta. The procedure is known...
Artery of Adamkiewicz Coronal slab volume rendering image of CT aortography shows artery of Adamkiewicz entering spinal canal(arrowheads) and joining...
and the false lumen in these cases, diagnosing an aortic dissection by aortography is difficult if the cause is an intramural hematoma. An aortic dissection...
several studies on angiography of abdominal organs: he performed the first aortography in Lisbon in 1929. In 1930, he became a full professor of Urology and...
coarctation of aorta. Four cases demonstrating left subclavian steal on aortography". The American Journal of Cardiology. 42 (1): 97–101. doi:10.1016/0002-9149(78)90991-8...
films. He invented a method known as occlusive aortography in an animal model. Occlusive aortography involved the transient occlusion of the aorta and...
is aortography. This method involves inserting a catheter into the aorta and directly injecting contrast material. The primary benefit of aortography is...
resulting aortography may be used to delineate the anatomy of the double aortic arch including sites of narrowing in the left aortic arch. Aortography can also...
11 (9): e000035. doi:10.1161/HCV.0000000000000035. Radner S. Thoracal aortography by catheterization from the radial artery; preliminary report of a new...
trigger spinal stroke. Cases of spinal stroke following operations like aortography, spinal anesthesia and lumbar spine surgery are reported. Abnormalities...
I'enfant. Presse Med 1938:46:1474 Castellanos A. Pereira R: Counter-current aortography. Rev Cub Cardiol 1939:2:187 Doby T: Development of Angiography and Cardiovascular...
"Clinical anatomy of the suprarenal arteries: a quantitative approach by aortography". Surgical and Radiologic Anatomy. 10 (4): 297–302. doi:10.1007/BF02107902...
(1959). "A plea for caution in the use of sodium acetrizoate (urokon) for aortography". Ann Surg. 150 (1): 172. doi:10.1097/00000658-195907000-00022. PMC 1613496...
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