Triller J, Fritschy P, Tschäppeler H, Stocker F
Rofo. 1986 Jul;145(1):1-8. doi: 10.1055/s-2008-1048877.
In 43 children and adolescents, DSA was carried out, in 29 cases by the intravenous and in 17 cases by the intra-arterial route. IV-DSA was usually performed by putting a cannula (14 to 18 G) into the antecubital vein (bolus injection of 5 to 40 ml. of contrast and 5 to 20 ml. saline at 2 to 12 ml./sec.). The indication for IV-DSA is the investigation of congenital cardio-vascular abnormalities (stenosis or atresia of the pulmonary artery, anomalies of the pulmonary veins or the aortic arch and following vascular surgery). In these cases the more invasive heart catheter examinations can be avoided. IA-DSA is performed with a catheter with a fine lumen (4 to 5 F), diluting the contrast with an equal amount of saline. The advantage of IA-DSA is that it is less invasive, uses less contrast and provides better contrast and detail.
对43名儿童和青少年进行了数字减影血管造影(DSA),其中29例采用静脉途径,17例采用动脉途径。静脉数字减影血管造影(IV-DSA)通常是将一根套管(14至18G)插入肘前静脉(以2至12毫升/秒的速度团注5至40毫升造影剂和5至20毫升生理盐水)。IV-DSA的适应证是先天性心血管异常(肺动脉狭窄或闭锁、肺静脉或主动脉弓异常以及血管手术后)的检查。在这些情况下,可以避免进行侵入性更强的心脏导管检查。动脉数字减影血管造影(IA-DSA)使用细腔导管(4至5F),用等量生理盐水稀释造影剂。IA-DSA的优点是侵入性较小、造影剂用量较少且能提供更好的对比度和细节。