听诊、连续波多普勒成像、静脉数字减影血管造影及传统血管造影在颈动脉疾病诊断中的比较

Comparison of auscultation, continuous wave Doppler imaging, intravenous digital subtraction angiography and conventional angiography in diagnosis of carotid artery disease.

作者信息

Caes F, Vierendeels T, Janssens-Willem E, Cham B, Welch W

机构信息

Department of Thoracic and Cardiovascular Surgery, Academic Hospital, Vrije Universiteit Brussel, Belgium.

出版信息

Angiology. 1987 Nov;38(11):799-806. doi: 10.1177/000331978703801101.

DOI:10.1177/000331978703801101

PMID:3318569

Abstract

The reliability of auscultation, continuous wave (CW) Doppler imaging, and intravenous digital subtraction angiography (IV DSA) in the assessment of carotid artery disease has been evaluated in comparison with conventional angiography in 30 patients. With auscultation, specificity and sensitivity for internal carotid artery (ICA) stenosis of 50% or more were 81% and 67% respectively. CW Doppler imaging detected ICA stenosis of 50% or more with a sensitivity of 83% and a specificity of 92% and ICA occlusion with a sensitivity of 60%. The specificity of IV DSA was 95% and the sensitivity for ICA stenosis of 50% or more and ICA occlusion were 75% and 100% respectively. Combining CW Doppler and IV DSA findings raised sensitivity for ICA stenosis of 50% or more and ICA occlusion to 89% and 100% respectively and specificity to 95%. The combination of CW Doppler and IV DSA is a safe and accurate test battery in the detection and categorization of carotid disease.

摘要

通过与传统血管造影术对比，在30例患者中评估了听诊、连续波（CW）多普勒成像及静脉数字减影血管造影术（IV DSA）在颈动脉疾病评估中的可靠性。听诊时，对50%及以上颈内动脉（ICA）狭窄的特异性和敏感性分别为81%和67%。CW多普勒成像检测50%及以上ICA狭窄的敏感性为83%，特异性为92%，检测ICA闭塞的敏感性为60%。IV DSA的特异性为95%，对50%及以上ICA狭窄和ICA闭塞的敏感性分别为75%和100%。结合CW多普勒和IV DSA的结果，使50%及以上ICA狭窄和ICA闭塞的敏感性分别提高到89%和100%，特异性提高到95%。CW多普勒和IV DSA的联合应用是检测和分类颈动脉疾病的一种安全、准确的检查方法。