COMPARATIVE STUDIES ON VARIOUS METHODS OF THE RENAL ARTERIOGRAPHY

Abstract

Although many complications have been reported, the translumbar needle aortography appears to be the technic widely used in our country. In recent years, however, the percutaneous transfemoral catheter arteriography has largely replaced the translumbar approach. The transfemoral approach allows respositioning of the catheter and makes selective catheterization of the renal artery possible.
In our clinic, renal arteriography by the transfemoral approach has been the mthod of choice and the majority of the cases have been evaluated adequately. However, in a small number of cases, with probable aorto-iliac occlusive disease or abdominal aortic aneurysms, an alternate approach is indicated. In those cases, left transaxillary or transbrachial, catheter or non-catheter, arteriography or intravenous abdominal aortography has been commonly used in many places. In our clinic, the percutaneous left transaxillary, cather or the direct non-catheter, left brachial arteriography has been profitable.