Murie J A, Morris P J
Nuffield Department of Surgery, University of Oxford, John Radcliffe Hospital, England.
J Cardiovasc Surg (Torino). 1987 Sep-Oct;28(5):516-9.
A survey of the management of patients with putative carotid artery disease by 245 vascular and neurosurgeons in Great Britain and Ireland was conducted with a 96 per cent response. Ninety-six (41%) surgeons performed at least one carotid endarterectomy in 1984 and a total of 1374 such operations were carried out in that year. Of the 40 surgeons who performed more than ten operations in 1984, 95 per cent generally employed a screening technique which was less invasive than conventional angiography in their management. Techniques based on ultrasonography were more popular than those based on digital subtraction angiography (DSA) in this respect. If carotid endarterectomy were to be undertaken, 63 per cent of surgeons required pre-operative conventional angiograms. Of the 38 per cent who did not routinely use conventional angiography, all but one used digital subtraction angiography. Ultrasonography and DSA have had a significant impact on the management of carotid artery disease in Great Britain and Ireland and their individual places in such management are becoming clear.
对英国和爱尔兰的245名血管外科医生和神经外科医生进行了一项关于疑似颈动脉疾病患者管理情况的调查，回应率为96%。96名（41%）外科医生在1984年至少进行了1次颈动脉内膜切除术，当年共进行了1374例此类手术。在1984年进行了超过10次手术的40名外科医生中，95%在其治疗中通常采用一种比传统血管造影侵入性小的筛查技术。在这方面，基于超声检查的技术比基于数字减影血管造影（DSA）的技术更受欢迎。如果要进行颈动脉内膜切除术，63%的外科医生要求进行术前传统血管造影。在不常规使用传统血管造影的38%的医生中，除一人外，其余都使用数字减影血管造影。超声检查和DSA对英国和爱尔兰颈动脉疾病的治疗产生了重大影响，它们在这种治疗中的各自地位正变得清晰。
