Why the study?
Does preoperative abdominal arteriography identify clinically significant vascular anomalies or pathology in patients undergoing evaluation?
Does preoperative abdominal arteriography identify clinically significant vascular anomalies or pathology in patients undergoing evaluation?
Preoperative abdominal arteriography frequently identifies significant vascular anomalies, stenoses, and unexpected metastatic lesions that can aid surgical planning.
Out of 758 patients with abdominal visceral aortograms or selective arteriograms, 471 of which were part of a hypertensive work up, 145 demonstrated severe stenosis or occlusion of the celiac axis or superior mesenteric arteries, anomalous origin of a principal vessel such as the common or right hepatic artery, or gross distortion of normal vascular anatomy. In addition, metastatic lesions to organs such as liver, adrenals, and bone were noted. Ways, other than purely diagnostic, in which this information has helped the surgeon are outlined.
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Justo L. Sibala (1971) studied this question.
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