+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Countercurrent aortography: an alternative to cardiac catheterization in infancy

Countercurrent aortography: an alternative to cardiac catheterization in infancy

Pediatric Cardiology 13(1): 10-13

Countercurrent aortography via a peripheral artery was used to clarify the aortic arch anatomy in 25 infants in whom cross-sectional and Doppler evaluation was inconclusive. Ages ranged from 3 days to 11 months (median 9 days), and 80% were neonates. The suspected diagnosis was aortic coarctation in 21 infants, interrupted aortic arch in two, recoarctation in one, and vascular ring in one. A countercurrent aortogram provided adequate diagnostic information in 24 infants. A diagnosis of coarctation was confirmed in 15, interruption of the aortic arch in two, and vascular ring in one. In six infants countercurrent aortography excluded the presence of anomalies of the aortic arch. In only one infant, who had an anomalous origin of the right subclavian artery from the descending aorta, did this technique fail to provide adequate information. The only complication observed was transient ischemia of the arm in one patient. Countercurrent aortography is a minimally invasive procedure that can provide adequate angiographic information without the need for cardiac catheterization in patients with inconclusive echocardiographic evaluation. Injection into a right upper limb artery is preferred, because it gives better opacification of the ascending and transverse aortic arch than injection into a left one.

Please choose payment method:

(PDF emailed within 0-6 h: $19.90)

Accession: 007165917

Download citation: RISBibTeXText

PMID: 1736261

DOI: 10.1007/BF00788222

Related references

Disorders and risks in angiocardiopneumography and cardiac catheterization; based on personal experience and on two severe cases of syncope after angiopneumography and after thoracic aortography by means of catheterization. Minerva Pediatrica 6(19): 745-763, 1954

Congenital heart disease. II. Angiocardiography, aortography and cardiac catheterization. Journal of the Medical Society of New Jersey 48(2): 47-50, 1951

Direct aortography or aortography with retrograde femoral catheterization. Journal de Radiologie, d'Electrologie and Archives d'Electricite Medicale 36(5-6): 417-424, 1955

Sudden death in early infancy due to delayed cardiac tamponade complicating central venous line insertion and cardiac catheterization. Archives of Pathology & Laboratory Medicine 116(6): 654-656, 1992

Cardiac catheterization in infancy and childhood. Paediatrician 4(5/6): 343-355, 1975

Prevalence of renal artery stenosis in patients undergoing cardiac catheterization: when should abdominal aortography be performed? Results in 467 patients. Journal de Radiologie 85(5 Pt 1): 627-633, 2004

Iliac veininferior caval thrombosis after cardiac catheterization in infancy. Pediatric Cardiology 1(4): 257-261, 1980

Infective endocarditis following cardiac catheterization in infancy. A case report and review. Clinical Pediatrics 25(4): 222-224, 1986

Actual risk of cardiac catheterization and angiocardiography in infancy and childhood a prospective study. Zeitschrift fuer Kardiologie 79(5): 324-335, 1990

Echocardiography and cardiac catheterization in the preoperative assessment of ventricular septal defect in infancy. American Heart Journal. 135(5 Part 1): 907-913,, 1998

Countercurrent aortography by contrast injection into a peripheral artery. Archivos del Instituto de Cardiologia de Mexico 58(1): 27-29, 1988

Femoral arterial thrombosis after cardiac catheterization in infancy: impact of Doppler ultrasound for diagnosis. Pediatric Cardiology 34(3): 530-535, 2013

Axillary countercurrent aortography in the newborn with aortic arch obstruction. Australian & New Zealand Journal of Medicine 19(5 SUPPL 1): 558, 1989

Percutaneous transluminal angioplasty for the treatment of complete arterial occlusion after retrograde cardiac catheterization in infancy. American Journal of Cardiology 84(9): 1124-1126, A11, Nov 1, 1999

Axillary artery countercurrent aortography in the newborn with aortic arch obstruction. Pediatric Radiology 19(8): 516-519, 1989