Angiography of the upper extremity

  • B. Janevski
Part of the Developments in Surgery book series (DISU, volume 1)


Angiographic technique for the investigation of the arteries of the upper extremity is described, this includes modifications of the methods for percutaneous catheterization as well as the use of vasodilators for peripheral hand angiograms. The conclusions are based on the authors own experience in 730 selective studies of the arteries of the upper extremities.

A brief review of the angiographic findings in the different vascular conditions affecting the shoulder and arm is included, with examples from the author’s own series. In addition, an attempt is made to differentiate thromboangiitis obliterans from arteriosclerosis obliterans based on roentgenographic findings.


Sarcoma Hemangioma Myositis Rhabdomyosarcoma Cellulitis 


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  1. 1.
    L. Donald, Arey Jr. Subclavian steal syndrome. J. Florida M.A. 1005–1009.Google Scholar
  2. 2.
    A.P. Vincent Jr., H. LeVeen. The Subclavian Steal Syndrome. Collective Review 9, nr. 1: 51–75, January, 1970Google Scholar
  3. 3.
    G. Knox, R. Howard, E. Robert. The Subclavian Steal Syndrome. Postgraduate Medicine 38: 608–613, 1965PubMedGoogle Scholar
  4. 4.
    CD. Hafner. Subclavian Steal Syndrome. Arch Surg. 111: 1073–1030.Google Scholar
  5. 5.
    A.E. Van Voorthuisen, T. De Roo, A.G.M. Beelen. Omkering van de bloedstroom in de arteria vertebralis en the “Subclavian Steal Syndrome” Ned. T. Geneesk. 109, II: 1705–1715, 1965PubMedGoogle Scholar
  6. 6.
    O.J. Molloy, E. Wyn Jones. Management of the Subclavian Steal Syndrome Thorax 21: 347–354, 1966CrossRefGoogle Scholar
  7. 7.
    Marvin B. Weber; Pitfalls in the Diagnosis of Subclavian Steal IMJ 13, number 3: Sept. 1969Google Scholar
  8. 8.
    J. Allen, J. McCracken. Subclavian Steal Syndrome. The jounral of the Arkansas Medical Society 64: 422–423, 1968Google Scholar
  9. 9.
    N. Finkelstein, A. Byer, B. Rush Jr. Subclavian-Subclavian Bypass for the Subclavian Steal Syndrome Surgery 71: 142–145, 1972Google Scholar
  10. 10.
    S. Marumoto, T. Sawayama. Subclavian Steal Syndrome. Japanene Circulation Journal 30: 379–383, 1966CrossRefGoogle Scholar
  11. 11.
    I. Mandelbaum, D. Nahrwold. Spontaneous Resolution of Traumatic Subclavian Steal Syndrome. Annals of Surgery; 314–317, 1967Google Scholar
  12. 12.
    S. Silverblatt. Proximal Subclavian Artery Stenosis. Florida M.A., October 1975; 62: 28–33, 1975Google Scholar
  13. 13.
    K. Clark, O. Perry. Carotid Vertebral Anastomosis: An Alternate Technic for Repair of the Subclavian Steal Syndrome. Annals of Surgery 163: 414–416, 1966PubMedCrossRefGoogle Scholar
  14. 14.
    M.J. Jennings. A Case of The Subclavian Steal Syndrome. The Medical Journal of Australia; 1149–1151, Dec. 10, 1966Google Scholar
  15. 15.
    P. Nemor Jr., S. Bahabozorgui, D. Wagner. Brachial-basilar Insufficiency and The Subclavian Steal Syndrome. Journal of Thoracic and Cardiovascular Surgery 50 Nr. 4. 534 –544, 1965.Google Scholar
  16. 16.
    F. Arevalo, B. Katzen. Bilateral Subclavian Steal Syndrome. Am. J. Roentgenology 127: 668–669, 1976Google Scholar
  17. 17.
    J. Hardy, J.H. Conn, W. Fain. Nonatherosclerotic Occlusive Lesions of Small Arteries. Surgery 57: 1–13, 1965PubMedGoogle Scholar
  18. 18.
    M. Conrad, J. Toole, R. Javeway. Hemodynamics of the Upper Extremities in Subclavian Steal Syndrome. Circulation. 32: 346–351, 1965PubMedGoogle Scholar
  19. 19.
    R.J. Trevino; Thyrocervical Steal Syndrome. Arch Otolaryngology; 92; 177–180, 1970Google Scholar
  20. 20.
    R. Mueller, V. Hinck. Thyrocervical Steal; Radiology. 101 nr. 1, 1967.Google Scholar
  21. 21.
    M. Selman, W. McAlpine, The Thoracic outlet Syndrome, The Ohio State Medical Journal 908–911, Sept. 1969Google Scholar
  22. 22.
    E. Lang. Arteriography and Venography in the Assessment of Thoracic Outlet Syndromes. Southern Medical Journal 65: 129–136, 1972PubMedCrossRefGoogle Scholar
  23. 23.
    E. Lang. Scalenus Anticus and Pectoralis Minor Syndrome. Journal of The Indiana State Medical Association, pp. 440Google Scholar
  24. 24.
    S. Mathes, A. Salam. Subclavian Artery Aneurysm, sequela of thoractic outlet syndrome. Surgery 3: 506–510, 1974Google Scholar
  25. 25.
    D.S. Mulder, F.A.H. Greenwood. Posttraumatic Thoracic Outlet Syndrome. The Journal of Trauma, 13, nr. 8; pp. 706–715Google Scholar
  26. 26.
    T. Sadler Jr., G. Rauner, G. Twombley. Thoracic Outlet Compression; The American Journal of Surgery 130: 704–706, 1975CrossRefGoogle Scholar
  27. 27.
    W. Cox, R. Buker. first rib resection for thoracic outlet compression syndrome; American Family Physician 9: 140–146, 1974PubMedGoogle Scholar
  28. 28.
    T. Tomsick, R. Ahistrand, T. Kiesel. Thoracic Outlet Syndrome associated with rib fusion and cervicothoracic scoliosis. Journal of Canadian Association of Radiologists 25: 211–213, 1974Google Scholar
  29. 29.
    J. Conn. Thoracic Outlet Syndromes. Surgical Clinics of North America 54, No. 1: 155–164, 1974PubMedGoogle Scholar
  30. 30.
    M. Agran, A. Kratzman, M. Lazarek. Thoracic Outlet Syndrome. The Journal of Medical Society of New Jersey; 70, No. 10: 734–735 1973Google Scholar
  31. 31.
    E.D. Telford, S. Mottershead, M. England. Pressure at the Cervico-Brachial Junction. The Journal of Bone and Joint Surgery 30, No. 2, May 1948, 249.Google Scholar
  32. 32.
    E. Lang. Arteriographic Diagnosis of Neurovascular Compresson Syndromes. Journal of Louisiana State Medical Society 121, No. 6: 196–197, 1969Google Scholar
  33. 33.
    R. Kaminski, R. Barnes. Critique of the Allen Test for Continuity of the palmar arch assessed by doppler ultrasound. Surgery, Gynecology & Obstetrics 142: 861–864 1976Google Scholar
  34. 34.
    T. Yao, C. Gourmos. A Method for Assessing Ischemia of the Hand and Fingers. Surgery, Gynecology & Obstetrics, 135: 373–378 1972Google Scholar
  35. 35.
    J. Bergan, J. Conn. Severe Ischemia of the Hand. Annals of Surgery 173 No. 2: 301–307Google Scholar
  36. 36.
    W. Dale, M. Lewis. Management of Ischemia of the Hand and Fingers. Surgery, 67, No. 1: 62–79, 1970PubMedGoogle Scholar
  37. 37.
    S. Shionoya, I. Ban. Diagnosis, Pathology, and Treatment of Buerger’s Disease. Surgery 75, No. 5: 685–700 1974Google Scholar
  38. 38.
    S. Wessler. Buerger’s Disease Revisited. Surgical Clinics of North America 49, No. 3: 703–713, 1969PubMedGoogle Scholar
  39. 39.
    L. Ekelund, S. Laurin. Comparison of a Vasoconstrictor and a Vasidilator in Pharmacoangiography of Bone and Soft-Tissue Tumors. Radiology 122: 95–99, 1977PubMedGoogle Scholar
  40. 40.
    D. Levin, D. Gordon. Arteriography of Peripheral Hemangiomas. Radiology 121: 625–630, 1976PubMedGoogle Scholar
  41. 41.
    I. Yaghmai. Malignant Giant Tumor of the Soft Tissue: Angiographic Manifestations. Radiology 120: 329–331, 1976.PubMedGoogle Scholar
  42. 42.
    L. Flores. Dacron arterio-venous shunts for Vascular Access In Hemodialysis Trans. Amer. Soc. Artif. Int. Organs 19: 33, 1973Google Scholar
  43. 43.
    J. Royle, K. Dawborn. The Use of Radiology in The Management of Patients with Arterio-venous Shunts; The Medical J. of Australia 1: 529–531, 1972Google Scholar
  44. 44.
    G. Abouna. Brachial Arterio-Venous Shunts for Hemodialysis and Extracorporal Procedures, Europ. Surg. Res. 5: 390–400, 1973CrossRefGoogle Scholar
  45. 45.
    J. Gothlin, E. Lindstedt. Swelling of The Arm in Patients With Arteriovenous Fistular. British Medical Journal 629–630: Sept. 1974Google Scholar
  46. 46.
    J.A. Busseil, J.A. Abbott. A Radial Steal Syndrome with Arteriovenous Fistula for Hemodialysis. Annals of Internal Medicine 75: 387–394, 1971.Google Scholar
  47. 47.
    K. Benedict, Jr., W. Chang. The Hypothenar Hammer Syndrome; Radiology 111; 57–60, April 1974PubMedGoogle Scholar
  48. 48.
    J. Conn, J. Bergan. Hypothenar Hammer Syndrome: Posttraumatic Digital Ischemia; Surgery 68: 1122–1128, 1970PubMedGoogle Scholar

Copyright information

© Martinus Nijhoff Publishers, The Hague/Boston/London 1979

Authors and Affiliations

  • B. Janevski
    • 1
  1. 1.Department of Radiology, St Annadal HospitalUniversity of LimburgMaastrichtThe Netherlands

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