Document Detail

The benefits of internal thoracic artery catheterization in patients with chronic abdominal aortic occlusion.
MedLine Citation:
PMID:  20532775     Owner:  NLM     Status:  MEDLINE    
Occlusion of the abdominal aorta may be caused by an embolic lesion, but more commonly by thrombotic disease at the aortoiliac area, progressing retrograde. However, the visualization of the distal run-off via internal thoracic-epigastric inferior artery collateral channel may be a very important diagnostic tool, especially in countries with poor technical equipment. This study was designed to show the benefit of the selective internal thoracic angiography in cases with complete aortic occlusion. We present 30 patients with chronic aortic abdominal occlusion who were submitted to the transaxillary aortography and selective ITA angiography with purpose of distal run off evaluation. Angiographic evaluation was performed by two independent radiologists according to previously defined classification. Good angiographic score via internal thoracic angiography by first observer was achieved in 19 (63.3%) patients and in 18 (60%) by a second observer. Transaxillary aortography showed inferior results: good angiographic score by the first observer in six (20%) patients and by the second observer in three (3%) patients. Low extremity run-off is better visualized during internal thoracic angiography than during transaxillary aortography.
Nikola Ilic; Lazar Davidovic; Igor Koncar; Marko Dragas; Miroslav Markovic; Momcilo Colic; Ilijas Cinara
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Publication Detail:
Type:  Journal Article     Date:  2010-06-08
Journal Detail:
Title:  Cardiovascular and interventional radiology     Volume:  34     ISSN:  1432-086X     ISO Abbreviation:  Cardiovasc Intervent Radiol     Publication Date:  2011 Apr 
Date Detail:
Created Date:  2011-03-16     Completed Date:  2011-08-12     Revised Date:  2012-02-23    
Medline Journal Info:
Nlm Unique ID:  8003538     Medline TA:  Cardiovasc Intervent Radiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  396-400     Citation Subset:  IM    
Clinic of Vascular and Endovascular Surgery, Clinical Center Serbia, Belgrade, Serbia.
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MeSH Terms
Aorta, Abdominal / radiography
Aortic Diseases / radiography*
Aortography / methods
Arterial Occlusive Diseases / radiography*
Chronic Disease
Contrast Media / diagnostic use
Heart Catheterization / methods*
Iohexol / analogs & derivatives,  diagnostic use
Mammary Arteries / radiography*
Middle Aged
Observer Variation
Prospective Studies
Radiographic Image Enhancement / methods
Severity of Illness Index
Reg. No./Substance:
0/Contrast Media; 66108-95-0/Iohexol; 73334-07-3/iopromide
Comment In:
Cardiovasc Intervent Radiol. 2012 Feb;35(1):219-20; author reply 217-8   [PMID:  22139366 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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