Section of Vascular Medicine, Cleveland Clinic, 9500 Euclid Avenue, J 3-5, Cleveland, OH 44195, USA.
Internal Medicine and Geriatrics, Department of Internal Medicine, Cleveland Clinic, 9500 Euclid Avenue, G10, Cleveland, OH 44195, USA.
Med Clin North Am. 2023 Sep;107(5):925-943. doi: 10.1016/j.mcna.2023.05.004. Epub 2023 Jul 3.
The vascular laboratory provides important contributions to the diagnosis, workup, and treatment of known or suspected vascular disease. Knowing what tests to order (and when to order them) allows for the best utilization of these resources. This article will focus on the appropriate use of the vascular lab for the primary care clinician regarding a variety of vascular presentations, including swollen leg, suspected peripheral artery disease, vasospastic disease, carotid artery stenosis, and abdominal aortic aneurysms. Patients with known vascular disease often require serial surveillance imaging to document the stability or progression of disease, and consensus guidelines regarding these strategies will be reviewed.
血管实验室对已知或疑似血管疾病的诊断、检查和治疗做出了重要贡献。了解应进行哪些检查(以及何时进行)可以充分利用这些资源。本文将重点介绍初级保健临床医生在各种血管表现(包括腿部肿胀、疑似外周动脉疾病、血管痉挛性疾病、颈动脉狭窄和腹主动脉瘤)方面合理使用血管实验室。对于已知血管疾病的患者,通常需要进行连续的影像学监测以记录疾病的稳定性或进展,本文将对这些策略的共识指南进行审查。