Wilson N M, Chan O, Thomas M L, Browse N L
Department of Surgery, St. Thomas' Hospital, London, U.K.
J Cardiovasc Surg (Torino). 1991 Nov-Dec;32(6):747-52.
All patients undergoing peripheral injection intravenous digital subtraction angiography (ivDSA) for peripheral vascular disease during 1987 have been reviewed (140 patients). The radiological distribution of disease was aorto-iliac occlusive (AI) 36 (23%), femoropopliteal (FP) 68 (44%), mixed AI/FP 36 (23%). Clinical diagnosis was correct for AI disease in 92%, for FP disease in 65% and for mixed AI/FP disease in 47%. ivDSA was the only investigation required for management in 111 of all 140 patients (79%), and in 33 of the 36 patients with AI disease (92%), but was less accurate in defining femoropopliteal disease, 22 patients (32%) requiring additional arteriography. Conventional arteriography was performed in 200 patients in 1982 compared with 100 in 1987. ivDSA is particularly suitable for the investigation of AI disease, a condition which is accurately detected by clinical examination, with a reduction in morbidity and bed occupancy.
对1987年期间因外周血管疾病接受外周注射静脉数字减影血管造影（ivDSA）的所有患者（140例）进行了回顾。疾病的放射学分布为腹主动脉-髂动脉闭塞（AI）36例（23%），股腘动脉（FP）68例（44%），AI/FP混合型36例（23%）。AI疾病的临床诊断正确率为92%，FP疾病为65%，AI/FP混合型疾病为47%。在全部140例患者中的111例（79%）以及36例AI疾病患者中的33例（92%），ivDSA是管理所需的唯一检查，但在确定股腘动脉疾病方面准确性较低，22例患者（32%）需要额外进行动脉造影。1982年有200例患者进行了传统动脉造影，而1987年为100例。ivDSA特别适合于AI疾病的检查，这种疾病通过临床检查可准确检测，能降低发病率和床位占用率。
