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American Journal of Roentgenology, Vol 107, 803-811, Copyright © 1969 by American Roentgen Ray Society


PERCUTANEOUS SELECTIVE ARTERIOGRAPHY IN ABDOMINAL EMERGENCIES

WILLIAM H. GREEN M.D.1, ALEXANDER I. KERNISH M.D.1, and GEORGE T. WOHL M.D.1

1 From the Department of Radiology, Philadelphia General Hospital, Philadelphia, Pennsylvania

Selective arteriography by the Seldinger percutaneous transfemoral approach has been utilized in the evaluation of patients with abdominal emergencies in a large general hospital. This technique has been found to be most useful in the following situations: (1) Determination of the exact site of gastrointestinal bleeding; (2) evaluation of patients with blunt abdominal trauma for injuries to the spleen, kidney and liver; and (3) diagnosis of acute occlusions of the renal and mesenteric arteries and veins.

The technique is practical, even in desperately ill patients, and gives consistently reliable information, as illustrated by several case reports.


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