By Prof. Dr. W. Wenz (auth.)
The great but uncomplicated suggestion of introducing a catheter percutaneously into an artery, with no first dissecting it unfastened, utilizing a versatile consultant cord, has resulted in a very progressive leap forward in stomach x-ray diag nosis (SELDINGER, 1953). meanwhile, tools and methods for injecting distinction media into quite a few vessels became mostly standardized; innumerable courses have seemed which care for each possible point of angiographic process and interpretation. This quantity is designed to offer our event with belly angiography. We intentionally shunned any systematic dialogue of the genitourinary tract, which has been competently handled within the literature, additionally with appreciate to angiographic findings. Our curiosity within the retroperitoneal zone is predicated usually on its value in differential prognosis. In ten years of angiographic task, our division had made winning use of an easy approach which seems to be appropriate additionally for smaller hospitals. we want to indicate its diagnostic strength and, whilst, to stipulate its barriers. Our adventure embraces 2804 stomach angiograms, which we've categorized in accordance with medical and morphologic anatomical standards. Their diagnostic interpretation has been in comparison with the surgical or histopathological effects. this can aid others to prevent error of the kind which we found in our personal paintings. Angiographic prognosis calls for not just familiarity with basic radiographic anatomy, but in addition particular wisdom of angiographic patho morphology. we've attempted to spot these beneficial properties which typify the person findings and to derive therefrom legitimate generalizations by means of uncomplicated sketches.
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FREY et al. angiographed 8 patients because of gastrointestinal bleeding and found small-intestine tumors in several of them. The following authors published individual case reports with sometimes dramatic angiographic findings capping prolonged but fruitless diagnostic efforts: BERCHTOLD and FUCHS (1966)- -telangiectatic leiomyoma of the small intestine ulcerating into the intestinal lumen; BREHM et al. (1967)-eroded cavernous hemangioma of the jejunum; WENZ and KREBS (1967)-bleeding small-bowel neurinoma .
Conventional methods of x-ray examination, including aortic flush angiograms, upper G. I. , 1959; PREVOT and LASSRICH, 1959; WENZ, 1967 and 1969). , 1963; SPENCER, 1964; BRICK and PALMER, 1964), and pathologists, too, are at times hard put to find it. No doubt it is due to endoscopy that erosive gastritis is today more frequently being recognized as the cause of bleeding (see tabulation below). , 1964) Author Endo- Year scopy No. of cases BROWN et al. MARTHIN et al. A T1K and SIMEONE BERKOWITZ et al.
1972). Period of observation 1960 to 1971. ) 7 Thromboembolic sequelae of angiography performed elsewhere 14 Thromboembolic sequelae of angiography performed at the Radiologic Division, Surgical Clinic, University of Heidelberg. (Indications: l. Suspected liver tumor; 2. occlusion of common carotid and stenosis of vertebral artery; 3. suspected liver abscess; 4. stenosis of subclavian artery; 5. ) 5 - - Performance of examination in hospitalized patients -- Compelling need for examination - Acceptable patient risk - Therapeutic consequences considered - General clinical examination beforehand - ECG, blood count, coagulation status, urinalysis.