Cécile J P, Baudrillard J C, Carlier C, Foucart H, Page P, Eckstein U
Département d'Imagerie Médicale, Centre Hospitalier du Dr Schaffner, Lens.
J Radiol. 1990 May;71(5):325-9.
Because of the poor specificity of the arteriography, the authors have performed a percutaneous angioscopy before every angioplasty of the arteries of lower limbs for nearly 3 years. They define the angioscopy and describe materials and technique. The percutaneous route without surgery and without anesthesia underlines the originality of the technique. The great difficulty is to counter-pulse the arterial inflow. The rate of saline irrigation and all the means of arterial blockade are described. In the second part, the "elementary images" are classified. The authors insist on the specificity of the angioscopy in the interpretation of arterial obstructions. Because of this specificity, the right treatment can be applied to any type of lesion. Angioscopy permits to foresee endoluminal surgery technique.
由于动脉造影的特异性较差,作者在近3年的时间里,在每次下肢动脉血管成形术前都进行了经皮血管镜检查。他们对血管镜检查进行了定义,并描述了材料和技术。无需手术和麻醉的经皮途径突出了该技术的独创性。最大的困难是对动脉血流进行反搏。文中描述了生理盐水冲洗的速率和所有动脉阻断方法。在第二部分,对“基本图像”进行了分类。作者强调了血管镜检查在解释动脉阻塞方面的特异性。由于这种特异性,可以对任何类型的病变采用正确的治疗方法。血管镜检查有助于预见腔内手术技术。