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American Journal of Roentgenology, Vol 97, 428-431, Copyright © 1966 by American Roentgen Ray Society


REFLUX AORTOGRAPHY COMBINED WITH THE VALSALVA MANEUVER IN THE DIAGNOSIS OF ABDOMINAL AORTIC ANEURYSMS

MARVIN J. FRIEDENBERG M.D.1 and TOM W. STAPLE M.D.1

1 From the Edward Mallinckrodt Institute of Radiology, Washington University School of Medicine, St. Louis, Missouri

A simple technique of reflux aortography for demonstration of adominal aortic aneurysms is described. The technique combines the use of the Valsalva maneuver with retrograde pressure injection of contrast material through a unilateral percutaneous common femoral artery needle. It is particularly useful in the high-risk group of patients with abdominal aortic aneurysms, many of whom have extremely arteriosclerotic and tortuous iliac arteries which make passage of wire guides and catheters difficult and hazardous.


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