We have analyzed 71 cases of selective angiographies; that is subclavian, bronchial, celiac, superior mesenteric, inferior mesenteric and intra-iliac arteriographies on the 57 patients.
Fifteen (21%) of 71 cases we have not succeeded. Among the 15 failed cases, 4 cases had arteriosclerosis and thrombosis in the extra-iliac artery and the common iliac artery. The other failed cases were 5 celiac artery, 1 superior mesenteric artery, 2 bronchial artery, 1 esophageal artery and 2 intra-iliac artery. The 5 failed arteriographies were 3 cases of cancer of stomach and choledochus, 1 giant liver by metastasis of cancer and 1 penetrative gastric ulcer. The failed 1 superior mesenteric arteriography was due to invisibility of catheter caused by previously administered 76% urographin in the huge cystoma pseudomucinosum.
We have succeeded in celiac angiographies on 36 (86%) of 43 cases. Vascular anomalies have been seen in celiac angiographies on 9 (25%) of the 36 cases. In 18 (60%) of 30 cases, the aberrant finding of the celiac angiographies were confirmed by operation.
Angiographic findings of hepatic metastasis have been made on 2 of 5 cases.
Selective anigography has become an important examination in the evaluation of tumor and vascular disease.
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