Gross-Fengels W, Mödder U, Beyer D, Neufang K F, Godehardt E
Radiologe. 1987 Feb;27(2):83-8.
In 713 patients 749 catheter-arteriographies of aortic-arch and cerebral vessels were performed using non-ionic contrast media. The patients were examined either with DSA or conventional film techniques. In 80 examinations of 76 patients complications or side-effects were noted, which resolved completely within one hour in 69 cases, showed a duration up to 7 days in 6 cases, and persisted longer than 7 days in 5 patients. Neurological complications were seen in 6.4% of the studies. There was no death. Patients, who received anti-hypertensive drugs before or during angiography and patients with a pathological angiogram had a significantly higher complication-rate. The rising number of patients with atherosclerotic cerebrovascular disease showed an unfavorable effect upon the overall complication-rate. The use of a non-ionic contrast medium did not drastically lower the rate of neurological complications.
对713例患者使用非离子型造影剂进行了749次主动脉弓和脑血管的导管动脉造影。患者采用数字减影血管造影（DSA）或传统胶片技术进行检查。在76例患者的80次检查中，发现了并发症或副作用，其中69例在1小时内完全缓解，6例持续时间长达7天，5例持续时间超过7天。在6.4%的研究中观察到神经并发症。无死亡病例。在血管造影前或造影期间接受抗高血压药物治疗的患者以及血管造影结果异常的患者并发症发生率明显更高。动脉粥样硬化性脑血管疾病患者数量的增加对总体并发症发生率产生了不利影响。使用非离子型造影剂并没有大幅降低神经并发症的发生率。
