Connolly J E, Brownell D A, Levine E F, McCart P M
Arch Surg. 1985 Nov;120(11):1229-32. doi: 10.1001/archsurg.1985.01390350015004.
We reviewed extracranial carotid studies in two groups of patients. The first group consisted of 200 patients who had been evaluated by both duplex scanning (DS) and direct arch-selective carotid arteriography (SCA). The second group consisted of 100 patients who had been evaluated by both intravenous digital subtraction angiography (IDSA) and conventional SCA. In 200 patients DS disclosed a 92% accuracy in delineating stenotic internal carotid disease and was accurate in recognizing ulcerative disease in 76% of patients. A review of the 100 patients studied by both IDSA and SCA showed that in 40% IDSA gave excellent correlation with SCA; in 35%, good correlation; and in 25%, poor correlation. In 10% DS was more accurate in delineating ulcerative disease than was IDSA, and on occasion DS was even more diagnostic than SCA. The relative accuracy, cost, risk, and clinical usefulness of each carotid diagnostic modality are discussed.
我们回顾了两组患者的颅外颈动脉研究情况。第一组由200名患者组成，这些患者均接受了双功扫描（DS）和直接弓上选择性颈动脉造影（SCA）检查。第二组由100名患者组成，这些患者均接受了静脉数字减影血管造影（IDSA）和传统SCA检查。在200名患者中，DS在描绘颈内动脉狭窄病变方面的准确率为92%，在76%的患者中能准确识别溃疡性病变。对100名同时接受IDSA和SCA检查的患者的回顾显示，40%的情况下IDSA与SCA相关性极佳；35%的情况下相关性良好；25%的情况下相关性较差。在10%的患者中，DS在描绘溃疡性病变方面比IDSA更准确，有时DS甚至比SCA更具诊断价值。文中讨论了每种颈动脉诊断方法的相对准确性、成本、风险和临床实用性。
