Freitag J, Otto H J, Freitag G, Koch R D, Buhtz C, Willenberg E, Deike R, Höfs R, Wolter A
Z Gesamte Inn Med. 1987 Feb 1;42(3):76-9.
For the diagnostics of obliterating vascular changes in the supraaortic area the invasive diagnostics of the vessels is not to be renounced now as before. The indication to the angiographic investigation results from clinical, perfusion-scintigraphic and Doppler-sonographic-findings. Of 390 patients 289 pathological angiographic findings in the supraaortic vascular area. In 101 patients normal findings were stated. Altogether 509 individual pathological findings were represented. In the comparison of the results of the investigations in the various diagnostic methods the clinical neurological investigation showed itself as particularly evident method. It should be decisive for the indication to the invasive diagnostics. The correspondence between the angiographic findings and the result of the perfusion-scintigraphic and Doppler-sonographic investigations, respectively, was the greater the more expressed the extracranial vascular findings represented themselves. In 127 patients with multiple obliterating vascular changes the size of the pathological changes and their localization could be established only angiographically.
对于诊断主动脉弓上区域的血管闭塞性改变,目前不像以前那样可以放弃血管的有创诊断。血管造影检查的指征源于临床、灌注闪烁扫描和多普勒超声检查结果。在390例患者中,主动脉弓上血管区域有289例血管造影病理结果。101例患者结果正常。总共呈现了509个个体病理结果。在比较各种诊断方法的检查结果时,临床神经学检查显示为特别明显的方法。它应该对有创诊断的指征起决定性作用。血管造影结果与灌注闪烁扫描和多普勒超声检查结果之间的对应性,颅外血管病变表现得越明显则对应性越强。在127例有多处血管闭塞性改变的患者中,只有通过血管造影才能确定病变的大小及其位置。