Grollman J H, Marcus R, Averbook B D, Fiaschetti F L
Department of Radiology, Little Company of Mary Hospital, Torrance, California 90503.
Cardiovasc Intervent Radiol. 1990 Dec;13(6):367-71. doi: 10.1007/BF02578677.
Bilateral aortoiliac pressure measurements were obtained at the time of aortography by performing contralateral iliac artery catheterization in 102 patients with peripheral vascular disease. Patients studied had mild-to-moderate aortoiliac disease and in their cases the additional information was believed to be important in therapeutic decision making. Patients with severe ulcerative disease, peripheral thromboembolism, and significant aortic aneurysms were excluded. Pressure gradients out of proportion to the degree of stenosis as measured on the arteriograms were frequently found, particularly during high flow states with intraarterial injections of a vasodilator. There were two failures of catheterization and three minor complications, none embolic. We conclude that contralateral iliac artery catheterization in selected patients is both safe and generally easily performed by experienced angiographers.
在102例周围血管疾病患者进行主动脉造影时，通过对侧髂动脉插管测量双侧主髂动脉压力。所研究的患者患有轻至中度主髂动脉疾病，在他们的病例中，额外的信息被认为对治疗决策很重要。患有严重溃疡性疾病、周围血栓栓塞和明显主动脉瘤的患者被排除在外。经常发现压力梯度与血管造影片上测量的狭窄程度不成比例，特别是在动脉内注射血管扩张剂的高流量状态下。有两次插管失败和三次轻微并发症，均无栓塞。我们得出结论，在选定的患者中进行对侧髂动脉插管对有经验的血管造影师来说既安全又通常很容易操作。
