Brückmann H, Hutschenreuter M, Ringelstein E B, Zeumer H
Neurologische Klinik des Klinikums der RWTH Aachen.
Radiologe. 1987 Nov;27(11):495-501.
Between 1980 and 1985 a total of 912 vertebral angiographies were performed in 793 patients, 198 of whom had ischemic symptoms attributable to the hindbrain circulation. The complication rate was 6%. With due consideration for the clinical findings and those recorded by Doppler ultrasound and computed tomography, vertebral angiography is indicated in vertebrobasilar occlusive disease if anticoagulation, percutaneous transluminal angioplasty (PTA) or local intraarterial fibrinolytic therapy (LIF) of the hindbrain circulation is intended, and also if there is a discrepancy between the clinical findings and the results of computed tomography or Doppler ultrasound examination. With today's sophisticated angiographic techniques (e.g. DSA) and the possibilities opened up by modern interventional neuroradiological techniques, the complication rate of vertebral angiography now seems to be lower than previously.
1980年至1985年间，对793例患者共进行了912次椎动脉血管造影，其中198例有归因于后脑循环的缺血症状。并发症发生率为6%。在充分考虑临床发现以及多普勒超声和计算机断层扫描记录的结果后，如果打算对后脑循环进行抗凝、经皮腔内血管成形术（PTA）或局部动脉内纤维蛋白溶解疗法（LIF），并且临床发现与计算机断层扫描或多普勒超声检查结果存在差异时，则在椎基底动脉闭塞性疾病中应进行椎动脉血管造影。凭借当今先进的血管造影技术（如数字减影血管造影）以及现代介入神经放射学技术带来的可能性，现在椎动脉血管造影的并发症发生率似乎比以前更低。
