Mantoni M Y, Holstein P
Department of Radiology, Bispebjerg Hospital, Copenhagen.
Dan Med Bull. 1990 Apr;37(2):192-3.
Seventy-four patients between the ages of 75 and 88, with disabling intermittent claudication or critically ischaemic legs underwent an aorto-femoral digital subtraction angiography (DSA). Thirty-six procedures were intraarterial and 38 were intravenous. There were no major complications. The degree and localisation of the arterial lesions did not differ from earlier reports based on conventional arteriography. In 67 patients, on the basis of the DSA examination, a decision could be made as to whether vascular surgery was feasible. In 28 of 57 non-diabetic patients (49%), invasive treatment was carried out in the form of vascular reconstruction, thromboembolectomy, or percutaneous transluminal angioplasty. None of the 17 diabetic patients could be treated invasively.
74名年龄在75至88岁之间、患有致残性间歇性跛行或严重腿部缺血的患者接受了主-股动脉数字减影血管造影（DSA）检查。36例为动脉内操作，38例为静脉内操作。未发生重大并发症。动脉病变的程度和部位与早期基于传统血管造影的报告无差异。在67例患者中，根据DSA检查结果，可以决定血管手术是否可行。在57例非糖尿病患者中的28例（49%），以血管重建、血栓切除术或经皮腔内血管成形术的形式进行了侵入性治疗。17例糖尿病患者均无法进行侵入性治疗。
