Angiography of the Upper Extremity, Softcover reprint of the original 1st ed. 1982 Series in Radiology Series, Vol. 7

Over the last few decades, angiography has devel­ careful analysis of his angiographic findings and a oped enormously and an extensive literature has very thorough description of vascular anatomy been published on the subject. In the last few and its many variants. The extensive clinical ma­ years, the number of publications has decreased terial also enables him to indicate those circum­ because the applications of this diagnostic method stances in which angiography can make an impor­ seem to have been almost fully explored. tant contribution to diagnosis. One of the applications for which this statement This monograph deserves the attention of all who might not be true is angiography of the upper ex­ are interested in the anatomy and pathology of the tremity. The clinical interest for this field has nev­ arm and the hand, and is particularly intended for er been as great as for other parts of the body. radiodiagnosticians and surgeons. In Maastricht, Janevski was able to accumulate an A. E. VAN VOORTHUISEN, M.D.

I Introduction.- 1.1 Outline of the Book.- 2 The History of Angiography of the Upper Extremities.- 3 Examination Technique.- 3.1 Preparation of the Patient for Upper Extremity Angiography.- 3.2 Premedication for Angiography under Local Anaesthesia.- 3.3 Instruments, Equipment and Contrast Media.- 3.4 Technique of Catheterization.- 3.5 Catheter Technique for Hand Angiography.- 3.6 Another Method for Hand Angiography (Direct Brachial Angiography).- 3.7 Complications.- 4 Vascular Tonus and Pharmacoangiography.- 4.1 General Anatomic and Histologic Considerations.- 4.1.1 Innervation of the Vascular System of the Upper Extremities.- 4.2 Physiology of Vascular Tonus: General Discussion.- 4.3 Disturbed Vascular Tonus of the Extremities 24 4.3.1 Clinical Manifestations of Vasospasm of the Extremities.- 4.4 Roentgenographic Manifestations of Arterial Spasm: Our Experience.- 4.5 Pharmacoangiography.- 4.6 Our Investigations.- 5 Embryology of the Arteries of the Upper Limb.- 6 Anatomy of the Arterial System of the Upper Extremities.- 6.1 Aortic Arch.- 6.2 The Arteries of the Upper Extremities on the Aortograms.- 6.3 The Arteries of the Upper Extremities on Selective Arteriograms.- 6.4 The Arteries of the Forearm.- 6.5 The Arteries of the Hand.- 6.6 Arterial Patterns in the Hand: Based upon a Study of 500 Arteriograms.- 6.7 The Deep Volar (Palmar) Arch.- 6.8 The Superficial Volar (Palmar) Arch.- 6.9 Other Observations and Discussion.- 6.10 Conclusions.- 7 Vascular Injuries of the Upper Extremity.- 7.1 Different Types of Injury: Signs and Symptoms.- 7.2 Traumatic Diseases of the Arteries of the Proximal Part of the Upper Extremity.- 7.3 Traumatic Arterial Injuries of the Forearm and Hand.- 7.4 Conclusions.- 8 Congenital Vascular Lesions and Vascular Tumours.- 8.1 Congenital Stenosis,Atresia, Hypoplasia and Aplasia.- 8.2 Arteriovenous Communications.- 8.3 Conclusions.- 9 The Thoracic Outlet Compression Syndrome.- 9.1 Introduction.- 9.2 Anomalies Predisposing to the Thoracic Outlet Compression Syndrome.- 9.3 Aetiology of Vascular Changes.- 9.4 Symptomatology.- 9.5 Physical Examination.- 9.6 Roentgenological Examinations for the Thoracic Outlet Compression Syndrome and Radiodiagnosis.- 9.7 Our Investigation.- 9.8 Case Material.- 9.9 Non-Pathological Occlusions of the Arteries of the Upper Limb due to Incorrect Positioning of the Extremity.- 9.10 Conclusions.- 10 Arterial Occlusive Diseases of the Upper Extremity.- 10.1 Arteriosclerosis.- 10.2 Steal Phenomena.- 10.3 Vasospastic Disorders.- 10.4 Arterial Embolism and Thrombosis of the Upper Extremities.- 10.5 Fibromuscular Hyperplasia.- 10.6 Thromboangiitis Obliterans (Buerger’s Disease).- 10.7 Collagen Diseases.- 10.8 Conclusions on Angiography in Acquired Vascular Diseases.- Summary.- Index of Subjects.