Madycki Grzegorz, Gabriel Marcin, Hawro Piotr, Pawlaczyk Katarzyna, Kuczmik Wacław, Urbanek Tomasz
Klinika Chirurgii Ogólnej i Naczyń Uniwersytet Medyczny w Poznaniu.
Kardiol Pol. 2014;72(3):288-309. doi: 10.5603/KP.2014.0059.
The duplex Doppler examination of carotid and vertebral arteries is the primary diagnostic method in detecting disorders leading to the brain blood supply disturbances. In many cases, in patients with carotid artery stenosis, the Doppler ultrasound plays a major role in the process of qualification to the reconstructive procedures. Regardless of the widespread availability and high sensitivity and specificity of this method it's burdened with serious drawbacks. The most important of them are evaluation subjectivity and variety of methods to assess stenosis degree and the nature of atherosclerotic plaques. They often cause difficulties in comparing the test results carried out in different centers and to find correlations with other imaging methods results. In order to overcome these drawbacks, Polish Society for Vascular Surgery has attempted to develop recommendations for uniform methodology of carotid and vertebral arteries Doppler examination. Legal terms, the manner of examination and its interpretation were presented. Proposing the way of highlights results and messages conclusion to enable the recommendationsimplementation of endovascular and surgical qualifications relating to surgical treatment. We hope that these recommendations will help to standardize examination techniques.
颈动脉和椎动脉的双功多普勒检查是检测导致脑供血障碍疾病的主要诊断方法。在许多情况下，对于患有颈动脉狭窄的患者，多普勒超声在重建手术的评估过程中起着重要作用。尽管这种方法广泛可用且具有高灵敏度和特异性，但它也存在严重的缺点。其中最重要的是评估的主观性以及评估狭窄程度和动脉粥样硬化斑块性质的方法多样。这些常常导致在比较不同中心进行的检查结果以及与其他成像方法结果建立相关性时出现困难。为了克服这些缺点，波兰血管外科学会试图制定颈动脉和椎动脉多普勒检查统一方法的建议。文中介绍了法律条款、检查方式及其解读。提出了突出结果和信息结论的方式，以推动与手术治疗相关的血管内和手术评估建议的实施。我们希望这些建议将有助于规范检查技术。
