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本文引用的文献

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Functional outcome after surgical treatment for intermittent claudication.间歇性跛行手术治疗后的功能结局
J Vasc Surg. 1996 Jul;24(1):65-73. doi: 10.1016/s0741-5214(96)70146-5.
2
Complications of arteriography in a recent series of 707 cases: factors affecting outcome.近期707例动脉造影的并发症：影响预后的因素
Ann Vasc Surg. 1993 Mar;7(2):122-9. doi: 10.1007/BF02001005.
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Femorotibial bypass for claudication: do results justify an aggressive approach?
J Vasc Surg. 1995 Jun;21(6):873-80; discussion 880-1. doi: 10.1016/s0741-5214(95)70214-8.
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Treatment of intermittent claudication: the impact on quality of life.间歇性跛行的治疗：对生活质量的影响。
Eur J Vasc Endovasc Surg. 1995 Oct;10(3):356-61. doi: 10.1016/s1078-5884(05)80057-7.
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Variability of Doppler ankle pressures with arterial occlusive disease: an evaluation of ankle index and brachial-ankle pressure gradient.
Surgery. 1981 Jan;89(1):134-7.
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Complications of angiography.
Radiology. 1981 Feb;138(2):273-81. doi: 10.1148/radiology.138.2.7455105.
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Peripheral vascular disease in diabetes mellitus and its relation to cardiovascular risk factors: screening with the doppler ultrasonic technique.
Diabetes Care. 1980 Mar-Apr;3(2):207-13. doi: 10.2337/diacare.3.2.207.
8
Plasma high density lipoproteins in coronary, cerebral and peripheral vascular disease. The influence of various risk factors.冠状动脉、脑血管及周围血管疾病中的血浆高密度脂蛋白。各种危险因素的影响。
Atherosclerosis. 1981 Nov-Dec;40(3-4):337-45. doi: 10.1016/0021-9150(81)90144-1.
9
Surgical management of arterial injuries secondary to angiography.血管造影术后继发动脉损伤的外科治疗
Ann Surg. 1971 Dec;174(6):962-4. doi: 10.1097/00000658-197112000-00013.
10
A thirty-year survey of the reconstructive surgical treatment of aortoiliac occlusive disease.一项关于主髂动脉闭塞性疾病重建性外科治疗的三十年调查。
J Vasc Surg. 1986 Mar;3(3):421-36. doi: 10.1067/mva.1986.avs0030421.

使用动脉造影术对间歇性下肢跛行患者进行初步评估。

Use of arteriography for the initial evaluation of patients with intermittent lower limb claudication.

作者信息

Wolosker N, Rosoky R A, Nishinari K, Nakano L

机构信息

School of Medicine, Universidade de São Paulo, Brazil.

出版信息

Sao Paulo Med J. 2001 Mar;119(2):59-61. doi: 10.1590/s1516-31802001000200004.

DOI:10.1590/s1516-31802001000200004
PMID:11276167
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11159581/
Abstract

CONTEXT

Many patients with intermittent claudication continue to be forwarded to the vascular surgeon for initial evaluation after arteriography has already been accomplished.

OBJECTIVE

The main objective of this work was to analyze the usefulness and the need for this procedure.

TYPE OF STUDY

Retrospective study.

SETTING

The patients were divided into two groups: Group 1, with the arteriography already performed and Group 2 without the initial arteriography.

PARTICIPANTS

One hundred patients with intermittent claudication were retrospectively studied. Other specialists had forwarded them for the first evaluation of intermittent claudication, without any previous treatment.

MAIN MEASUREMENTS

All patients were treated clinically for at least a 6-month period. The total number of arteriographies performed in the two groups was compared and the need and usefulness of the initial arteriography (of Group 1) was also analyzed.

RESULTS

The evolution was similar for both groups. The total number of arteriographies was significantly higher in Group 1 (Group 1 with 53 arteriographies vs. Group 2 with 7 arteriographies). For this group, it was found that arteriography was only useful in five cases (10%), because the surgeries were based on their findings. However, even in those cases, no need for arteriography was observed, as the procedure could have been performed at the time of surgical indication.

CONCLUSION

There are no indications for arteriography in the early evaluation of patients with intermittent claudication, because it does not modify the initial therapy, independent of its result. In cases where surgical treatment is indicated, this procedure should only be performed prior to surgery.

摘要

背景

许多间歇性跛行患者在已经完成动脉造影后仍被转诊至血管外科医生处进行初始评估。

目的

这项工作的主要目的是分析该检查的实用性和必要性。

研究类型

回顾性研究。

研究背景

患者被分为两组：第1组，已进行动脉造影；第2组，未进行初始动脉造影。

研究对象

对100例间歇性跛行患者进行回顾性研究。这些患者此前未经任何治疗，由其他专科医生转诊来进行间歇性跛行的首次评估。

主要测量指标

所有患者均接受了至少6个月的临床治疗。比较两组进行动脉造影的总数，并分析初始动脉造影（第1组）的必要性和实用性。

结果

两组的病情进展相似。第1组动脉造影的总数显著高于第2组（第1组53次动脉造影，第2组7次动脉造影）。对于该组患者，发现动脉造影仅在5例（10%）中有用，因为手术是基于造影结果进行的。然而，即使在这些病例中，也未观察到有进行动脉造影的必要，因为该检查本可在手术指征明确时进行。

结论

在间歇性跛行患者的早期评估中，没有进行动脉造影的指征，因为无论其结果如何，该检查都不会改变初始治疗方案。在有手术治疗指征的情况下，该检查应仅在手术前进行。