腎動脈撮影法の研究 第1編: 京大泌尿器科教室例の綜括的観察

Abstract

Four methods of renal arteriography, i.e., translumbar aortography, retrograde aortography, selective renal arteriography, and intravenous aortography have been introduced. Procedure and advantages of each method were presented. In our department, translumbar aortography is routinely employed because of simple instruments and technique required. Intravenous aortography was employed in a few cases. The author attempted inclusive observations on 206 cases of translu m ber aortography performed at his department during the period of April 1953 through March 1960. Disorders to which the aortography has been employed include renal hypertension as well as urologic disorders, which demonstrates wide clinical usage. Although a single shoot was employed in most cas e s, seriography was taken in 71 cases and 16 mm roentgencinematography was taken in 8 cases for functional diagnosis. In order to establish the relationship between renal arteriogram and urinary tract, combination of retrograde pyelography or pneumoretroperitoneum with the arteriogram was performed in 33 cases. Technical fail u re to produce renal arteriogram was found in 39 cases, their possible cases were discussed. The most causes of these technical failures were extraaortal extravasation of contrast media and inadequate exposure of the X-ray, etc. Side reaction of the arteriography was found only 15 cases. The most of the side reactions were the irritative symptoms caused by the contrast media. 76% Urografin (Schering) was demonstrated to be most non-irritating. No such severs symptoms as have been described were observed.