Hemodynamic assessment of obstructive aortoiliac disease

W. Castaneda-Zuniga, L. Knight, A. Formanek, R. Moore, V. D'Souza, K. Amplatz

Research output: Contribution to journalArticle

23 Scopus citations

Abstract

Angiographic demonstration of obstructive aortoiliac disease is of paramount importance prior to surgery. Obstructive disease in the femoral popliteal system can only be surgically relieved if inflow is adequate. Severely stenotic lesions may be missed by angiography due to the oblique course of the iliac arteries and inability to obtain right angle views. Translumbar downstream catheterization of the abdominal aorta and puncture of both femoral arteries allows simultaneous pressure recordings. The injection of 30 mg of papaverine into the femoral artery assures maximal vasodilatation mimicking conditions under exercise. A minimal gradient at rest may become obvious following the injection of papaverine, indicating hemodynamically significant disease and warranting surgical correction. The technique has proved to be simple and valuable, and there have been no complications.

Original languageEnglish (US)
Pages (from-to)559-561
Number of pages3
JournalUnknown Journal
Volume127
Issue number4
DOIs
StatePublished - Jan 1 1976

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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