de Geeter B, Weisburd P, Dillenseger P, Blanchard P
Centre d'explorations cardiovasculaires, cardiologie infantile, Strasbourg.
Arch Mal Coeur Vaiss. 1988 May;81(5):595-601.
In spite of the prominent position reached by echocardiography in the anatomical and functional diagnosis of congenital heart disease, angiography remains the reference method for preoperative assessment of most cardiovascular malformations. Digitalization of angiographic images, recently applied to cardiology, is of particular interest in paediatrics: the versatility of the method, the smaller amount and dilution of the contrast medium, the diminution of catheter size and the shorter exposure to X-rays are factors that reduce the risk of this invasive investigation. The experience acquired by the exploration of 500 congenital heart disease shows that there is no technical obstacle to using this method in paediatric cardiology, especially since the images obtained clearly are of better quality. Digital angiocardiography already has superseded the conventional analogical exploration in paediatric patients.
尽管超声心动图在先天性心脏病的解剖和功能诊断中占据显著地位，但血管造影术仍是大多数心血管畸形术前评估的参考方法。血管造影图像数字化最近应用于心脏病学领域，在儿科尤其受到关注：该方法的多功能性、造影剂用量减少且稀释、导管尺寸减小以及X射线照射时间缩短，这些因素降低了这种侵入性检查的风险。对500例先天性心脏病进行检查所获得的经验表明，在儿科心脏病学中使用该方法不存在技术障碍，特别是因为所获得的图像质量清晰更好。数字血管造影术已经取代了儿科患者的传统模拟检查。
