Rees M R, Gehani A A, Ashley S, Davies G A
Department of Radiology, Killingbeck Regional Cardiothoracic Centre, Leeds.
Clin Radiol. 1989 Jul;40(4):347-51. doi: 10.1016/s0009-9260(89)80116-3.
Percutaneous video angioscopy was performed using high resolution thin angioscopes in 12 peripheral arteries in 10 patients with peripheral vascular disease, to study the intraluminal appearance before and after dynamic, laser and conventional balloon angioplasty. Clear blood free views of the whole length of artery instrumented were obtained in 10 arteries with the remaining two arteries being partially visualised. The angioscopic appearances were compared to angiography. Clinically significant findings were detected in all the arteries by angioscopy that were not found by angiography. These included thrombus in the artery and vascular sheath, intimal flaps and fractured atheroma. The angioscopic findings helped to assess the effects of angioplasty in different types of occlusion. The findings demonstrate the potential of percutaneous angioscopy as an aid to percutaneous angioplasty as well as being a powerful diagnostic procedure.
对10例周围血管疾病患者的12条外周动脉使用高分辨率细血管镜进行经皮视频血管镜检查，以研究动态、激光和传统球囊血管成形术前后的管腔内情况。在10条动脉中获得了所检查动脉全长的清晰无血视野，其余两条动脉部分可视。将血管镜检查结果与血管造影进行比较。血管镜检查在所有动脉中均检测到血管造影未发现的具有临床意义的发现。这些发现包括动脉和血管鞘内的血栓、内膜瓣和破裂的动脉粥样硬化斑块。血管镜检查结果有助于评估不同类型闭塞中血管成形术的效果。这些发现证明了经皮血管镜检查作为经皮血管成形术辅助手段以及强大诊断程序的潜力。
