Abstract
Bilateral aortoiliac pressure measurements were obtained at the time of aortography by performing contralateral iliac artery catheterization in 102 patients with peripheral vascular disease. Patients studied had mild-to-moderate aortoiliac disease and in their cases the additional information was believed to be important in therapeutic decision making. Patients with severe ulcerative disease, peripheral thromboembolism, and significant aortic aneurysms were excluded. Pressure gradients out of proportion to the degree of stenosis as measured on the arteriograms were frequently found, particularly during high flow states with intraarterial injections of a vasodilator. There were two failures of catheterization and three minor complications, none embolic. We conclude that contralateral iliac artery catheterization in selected patients is both safe and generally easily performed by experienced angiographers.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Breslau PJ, Jörning PJG, Greep JM (1985) Assessment of aortoiliac disease using hemodynamic measures. Arch Surg 120:1050–1052
Brewster DC, Waltman AC, O'Hara PJ, Darling RC (1979) Femoral artery pressure measurement during aortography. Circulation 60:120–124
Castaneda-Zuniga W, Knight L, Formanek A, Moore R, D'Souza V, Amplatz K (1976) Hemodynamic assessment of obstructive aortoiliac disease. AJR 127:559–561
Haimovici H, Steinman C (1964) Aortoiliac angiographic patterns associated with femoropopliteal occlusive disease: Significance in reconstructive arterial surgery. Surgery 65:232–240
Harrington DP, Kandarpa K (1987) Quantification in peripheral angiography. Cardiovasc Intervent Radiol 10:400–407.
Moore WS, Hall AD (1971) Unrecognized aortoiliac stenosis. A physiologic approach to the diagnosis. Arch Surg 103:633–637
Noer I, Praestholm J, Tønnesen KH (1981) Direct measured systolic pressure gradients across the aorto-iliac segment in multiple-level obstruction arteriosclerosis. Cardiovasc Intervent Radiol 4:73–76
Schultz RD, Hokanson DE, Strandness DE Jr (1967) Pressure-flow and stress-strain measurements of normal and diseased aortoiliac segments. Surg Gynecol Obstet 124: 1267–1276
Thiele BL, Bandyk DF, Zierler RE, Strandness DE Jr (1983) A systematic approach to the assessment of aortoiliac disease. Arch Surg 118:477–481
Udoff EJ, Barth KH, Harrington DP, Kaufman SL, White RI (1979) Hemodynamic significance of iliac artery stenosis: Pressure measurements during angiography. Radiology 132:289–293
Wesolowski SA, Martinez A, Domingo RT, Fries CC, Schaefer HC, Sawyer PN, Gillie PN, McMahon JD (1966) Indications for aortofemoral arterial reconstruction: A study of borderline risk patients. Surgery 60:288–298
Kaufman SL, Fara JW, Udoff ELJL, Harrington DP, White RI Jr (1979) Hemodynamic effects of vasodilators across iliac stenoses in dogs. Invest Radiol 114:471–475
Kahn PC, Callow AD (1965) Selective vasodilatation as an aid to angiography. AJR 94:213–219
Murphy RA Jr, McClure JN Jr, Cooper FW Jr, Crowley LG (1950) The effect of priscoline, papaverine and nicotinic acid on blood flow in the lower extremity of man. A comparative study. Surgery 27:655–663
Friedman J, Zeit RM, Cope C, Bernhard VM (1984) Optimal use of tolazoline in arteriography. AJR 142:817–820
Cohen MI, Vogelzang RL (1986) A comparison of techniques for improved visualization of ahe arteries of the distal lower extremity. AJR 147:1021–1024
Leiboff R, Bren G, Katz R, Korkegi R, Ross A (1983) Determinants of transstenotic gradients observed during angioplasty: An experimental model. Am J Cardiol 52:1311–1317
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Grollman, J.H., Marcus, R., Averbook, B.D. et al. Bilateral aortoiliac pressure measurements from a single puncture site. Cardiovasc Intervent Radiol 13, 367–371 (1990). https://doi.org/10.1007/BF02578677
Issue Date:
DOI: https://doi.org/10.1007/BF02578677