Weber J
Department of Diagnostic Radiology, Rissen-Hospital, Hamburg, Germany.
Int Angiol. 1990 Jul-Sep;9(3):168-74.
Confusion in terminology and classification means one of the most serious problems in congenital vascular malformations (CVM). Syndromes like Klippel-Trenaunay's and F.P. Weber syndrome have been described before angiography had been developed. Above all noninvasive and new imaging modalities (such as ultrasound, computed tomography and magnetic resonance imaging) angiography is the method of choice for classification and decision in finding an adequate therapy. Arteriography above all has to define and localize arteriovenous fistulae and its hemodynamics whereas phlebography must demonstrate the malformative outflow, its extent and degree of primary or secondary functional decompensation. Lymphography is only used rarely in detection of veno-lymphatic and lympho-cystic components of the CVM.
术语和分类的混乱是先天性血管畸形(CVM)最严重的问题之一。像克-特综合征和F.P.韦伯综合征等综合征在血管造影术发展之前就已被描述。尤其是在非侵入性和新型成像模式(如超声、计算机断层扫描和磁共振成像)之上,血管造影术是进行分类以及决定采取适当治疗方法的首选方法。动脉造影术首先必须明确并定位动静脉瘘及其血流动力学情况,而静脉造影术则必须显示畸形的流出道、其范围以及原发性或继发性功能失代偿的程度。淋巴造影术在检测CVM的静脉-淋巴和淋巴-囊性成分时很少使用。