Gross-Fengels W, Beyer D, Lorenz R, Kristen R
Rontgenblatter. 1987 May;40(5):131-6.
Using IV-DSA and ultrasound (real-time), we demonstrated 13 false aneurysms, 2 isolated AV fistulas, 7 aneurysms of profunda patches and 8 aneurysms of bypass grafts. Aneurysms and AV fistulas developed in all 30 patients after different diagnostic and therapeutic procedures. Ultrasound showed partial thromboses of the aneurysms, perivascular changes and compression of the femoral vein, that could not be demonstrated by IV-DSA. On the other hand IV-DSA allowed the recognition of important findings not shown sonographically, such as AV fistulas and stenoses of the proximal and distal arteries. These findings were relevant for further surgical approach. It is therefore concluded that in patients with suspected aneurysm of the femoral or popliteal artery, IV-DSA and ultrasound should be used in conjunction rather than as alternative methods.
通过静脉数字减影血管造影（IV-DSA）和超声（实时）检查，我们发现了13例假性动脉瘤、2例孤立性动静脉瘘、7例股深动脉补片动脉瘤和8例旁路移植血管动脉瘤。在所有30例患者中，经过不同的诊断和治疗程序后均出现了动脉瘤和动静脉瘘。超声显示动脉瘤部分血栓形成、血管周围改变以及股静脉受压，而IV-DSA无法显示这些情况。另一方面，IV-DSA能够识别超声未显示的重要发现，如动静脉瘘以及近端和远端动脉狭窄。这些发现对于进一步的手术方案具有重要意义。因此得出结论，对于怀疑有股动脉或腘动脉瘤的患者，应联合使用IV-DSA和超声，而不是将它们作为替代方法。
