ABSTRACT
Carotid and cerebral arteriography is the only type of strategic arteriography where anticoagulation is used routinely, even when no treatment is planned at the time of catheterization. Occlusive and aneurysmal diseases involving the infrarenal arteries comprise a significant proportion of contemporary vascular practice. Aortography with lower extremity runoff may be carried out by placing the catheter at the level of the renal arteries and performing a sequence of films that covers the distance from the aorta to the feet. Femoral arteriography may be performed with a catheter placed either up-and-over the aortic bifurcation or in a retrograde or antegrade direction through the common femoral artery ipsilateral to the lesion. The anterior tibial artery projects laterally and anteriorly from its origin, through the interosseus membrane and then inferiorly through the anterior compartment. Inadequate pedal arteriography may lead to the subsequent surprise of the “angiographically occult” outflow artery in the foot. Pressure measurement is time-consuming and is usually performed selectively.
