Grünberg G, Maurer P
Rofo. 1977 Apr;126(4):327-30. doi: 10.1055/s-0029-1230588.
"Asymptomatic" carotid stenosis with a murmur is an indication for carotid angiography, particularly in patients with peripheral arterial occlusive disease. Carotid angiography in the neck, carried out in two planes, makes it possible to differentiate different types of stenosis. Plaques and ulcerating strictures are a source of micro-emboli. The extent and localisation of extracranial carotid stenoses must be precisely defined because of their haemodynamic effects, particularly before major vascular surgery, which may result in a transient fall in blood pressure. Carotid angiography can be combined with femoral angiography in patients with peripheral arterial occlusive disease. In our experience, the combined angiography does not result in any increase in the complication rate. This experience is based on 38 patients seen in the last 14 months.
有杂音的“无症状性”颈动脉狭窄是颈动脉血管造影的指征，特别是对于患有外周动脉闭塞性疾病的患者。在颈部进行的双平面颈动脉血管造影能够区分不同类型的狭窄。斑块和溃疡性狭窄是微栓子的来源。由于颅外颈动脉狭窄的血流动力学影响，必须精确确定其范围和位置，特别是在可能导致血压短暂下降的大血管手术之前。对于患有外周动脉闭塞性疾病的患者，颈动脉血管造影可与股动脉血管造影联合进行。根据我们的经验，联合血管造影不会导致并发症发生率增加。这一经验基于过去14个月中诊治的38例患者。
