Vayssairat M P
J Radiol. 1986 Jan;67(1):1-2.
Recent advances in therapy: angioluminal dilatation, fibrinolysis, microsurgery, require precise arterial visualization, to include the aorta, to prevent lack of recognition of an embolus of aortic origin. The new techniques for vascular visualization have modified the algorithm of exploration of an arteritis of lower limbs. Ultrasound and CT scan imaging are effective but do not exclude the use of angiography before deciding therapy. Digital subtraction venous angiography is insufficiently precise for aortic exploration but is a good method for diagnosis of peripheral artery lesions. Digital subtraction arterial angiography is perhaps the method for the future but it requires multiple injections. A place still exists for traditional aortoarteriography for exploration of lower limb arteritis, at least for patients under 65 years of age and in good general condition.
血管腔内扩张、纤维蛋白溶解、显微外科手术，需要精确的动脉可视化，包括主动脉，以防止漏诊主动脉源性栓子。血管可视化的新技术改变了下肢动脉炎的探查方案。超声和CT扫描成像有效，但在决定治疗方案前并不排除使用血管造影。数字减影静脉血管造影对主动脉探查不够精确，但对诊断外周动脉病变是一种好方法。数字减影动脉血管造影可能是未来的方法，但需要多次注射。传统的主动脉动脉造影在探查下肢动脉炎方面仍有一席之地，至少对于65岁以下且一般状况良好的患者是如此。
