Reactive hyperemia in lower extremity arteriography: an evaluation.
Reactive hyperemia in lower extremity arteriography: an evaluation.
复制标题
下肢动脉造影反应性充血:评估。
作者:
P. Kahn;D. Boyer;J. Moran;A. Callow
The value of reactive hyperemia in improving visualization in aortofemoral arteriography has been previously stressed (1, 2, 3) but the method has not yet found general acceptance. We have performed angiography after tourniquet occlusion almost routinely for the last three years, and have been impressed by the simplicity and safety of the method and the improvement in quality of the arteriograms. From a group of 200 patients with arterial disease studied in this manner, we have selected 55 in whom the timing of arterial blood flow with and without reactive hyperemia could be evaluated in serial films. We have analyzed the effect of reactive hyperemia and attempted to determine the influence of various clinical factors upon the response to tourniquet occlusion. Material and Methods Arteriography was performed either by percutaneous femoral catheterization or by translumbar injection. For this study, however, only retrograde femoral arteriograms were selected. A PE 240 J-tipped catheter was inserted via a c...