Survey of 200 cases of the abdominal aortography

From 1962 to 1970 about 200 abdominal aortographies were performed in Department of Radiology of National Medical Center, Seoul, Korea, with percutaneous retrograde seldinger catheterization technique. The 200 cases of the abdominal aortography were analyzed as followings. 1) The sex ratio of all patients was 105 (52.5%) males to 95 (47.5%) females. And high incidence was noted in middle age group. (46 patients were from 30 years to 40 years of age) 2) Radiological findings were grouped as 62 (31%) vascular lesion, 113 (56.5%) visceral or other expanding lesions and 29 (14.5%) angiographically nonspecific findings. Total is over 200 due to double lesions in 4 patients. 3) The 62 vascular lesions were composed of 40 aortitis, 28 renal hypertension etc. a) The 40 aortitis was divided into 25 artherosclerotic and 15 nonspecific. The 15 nonspecific aortitis revealed segmental narrowing (2-4 cm) with collaterals. b) In 28 renal hypertension, 17 cases were combined with aortitis, but not in 11 cases (Pure renal hypertension), and 19 cases were unilateral. 4) The highest incidence in 113 (56.5%) visceral or other expanding lesions, was renal lesions (88 cases), and other lesions, such as 12 retroperitoneal masses, 9 liver and pancreatic masses were also noted. The 88 renal lesions were composed of 37 renal tbc, 17 hydronephrosis (excluding tbc hydro), Tumors, 10 cyst etc. a) The most significant findings of renal tuberculosis in renal arteriogrpahy was rarefaction of contrast staining in involved area which was noted in 32 cases (87%) out of 37 renal Tuberculosis. b) All 12 hypernephroma, 1 wilm's tumor, metastaic tumor from fibromyomata uteri revealed pathological vessels and tumor stainings, however these findings were not noted in 2 ureteral carcinoma involving renal pelvis. 5) No permanent complications arose after abdominal aortography. (Percutaneous retrograde seldinger catheterization technique) 6) Abdominal aortography and selective visceral injections gave more diagnosis than any other radiological examinations in detecting some lesions which could not be approached with other radiological examinations