Crone-Münzebrock W, Jend H H
Rontgenblatter. 1987 May;40(5):137-9.
Numerous positive reports on the results obtained with digital subtraction angiography (DSA) in x-ray diagnostics in the visualisation of peripheral vascular areas, have been published ever since that method was introduced. From a surgical point of view it has therefore been suggested to extend the indication for vascular visualisation on account of the low invasiveness of venous DSA (vDSA). Only few reports have been published on the suitability of vDSA in traumatic vascular lesions. Whereas Starck and Rauber recommend vDS as a feasible method for the visualisation of traumatic vascular lesions, Galanski and Fiedler continue to postulate the need for arterial DSA (aDSA) in the clarification of degenerative diseases of the supraaortal branches. Conventional angiography has lost some of its importance in traumatic vascular lesions, as Traupe has stated. Our first experiences with vDSA in traumatic vascular lesions have been partly unsatisfactory. This, and the resulting consequences, are described in the present article.
自从数字减影血管造影（DSA）被引入用于X线诊断以可视化外周血管区域以来，已经发表了许多关于其获得的结果的积极报告。因此，从外科角度来看，鉴于静脉DSA（vDSA）的低侵入性，有人建议扩大血管可视化的适应症。关于vDSA在创伤性血管病变中的适用性的报告很少。虽然施塔克和劳伯推荐vDS作为可视化创伤性血管病变的可行方法，但加兰斯基和菲德勒仍然主张在阐明主动脉弓上分支的退行性疾病时需要动脉DSA（aDSA）。正如特劳佩所说，传统血管造影在创伤性血管病变中已失去了一些重要性。我们在创伤性血管病变中使用vDSA的最初经验部分并不令人满意。本文将描述这一点及其产生的后果。
