Value of angiography in the management of abdominal aortic aneurysm

J. Rösch, F. S. Keller, J. M. Porter, G. M. Baur

Research output: Contribution to journalArticle

6 Scopus citations

Abstract

The value of angiography in the management of abdominal aortic aneurysms (AAA) was assessed in 100 consecutive patients with AAA. Angiographic information influenced management decisions and/or surgery performance in 75: In 23 patients at high risk for surgery because of associated medical problems, it helped in deferring surgery; in 52 patients it resulted in a change of operation from a standard aneurysm resection with conventional grafting to a more conservative procedure (three patients), more extensive grafting (45 patients) and/or the addition of other vascular reconstructions (32 patients). Angiography is considered an integral step in the routine preoperative workup of AAA and is particularly valuable for the determination of important anatomic details about the aneurysm (upper and lower extensions, relation to the renal arteries), the detection of associated vascular disease (of renal, visceral, pelvic and peripheral arteries), and the demonstration of aberrant renal arteries and collateral visceral circulation. Catheter techniques are considered most suitable and safe for examination of AAA.

Original languageEnglish (US)
Pages (from-to)83-94
Number of pages12
JournalCardiovascular Radiology
Volume1
Issue number2
DOIs
StatePublished - Apr 1 1978

Keywords

  • Abdominal aortic aneurysm
  • Aberrant renal arteries
  • Aneurysm resection
  • Angiography
  • Obstructive arterial disease
  • Preoperative evaluation
  • Vascular reconstruction
  • Vascular surgery

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

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