Hänsgen K, Schmidt P, Podhaisky H
Z Gesamte Inn Med. 1982 Sep 15;37(18):594-8.
The percutaneous transluminal angioplasty is regarded as valuable enrichment of the therapeutical possibilities in peripheral arterial obstructive disease. Frequently by its application an arterial dilatation of the lumen and thus a local improvement of the blood supply can be achieved. As was shown by our measurements the haemodynamic factors and the quality of the prophylaxis of recidivations by medicaments have a decisive influence on the early results. Apart from clinical and X-ray morphological findings also oscillographic, Doppler-sonographic, plethysmographic and ergometric parameters are used for indication. In the same way angiological examinations of the function were performed within the further control of course and therapy. Changes of the peripheral haemodynamics could be particularly well read at the behaviour of the systolic pressure gradients and indices. When the technical and apparative prerequisites for the performance of the percutaneous transluminal angioplasty are given, the close interdisciplinary cooperation between radiologists and angiologists is important for achievement of optimum results of the treatment.
经皮腔内血管成形术被视为外周动脉阻塞性疾病治疗可能性的宝贵补充。通过其应用,常常可以实现管腔的动脉扩张,从而局部改善血液供应。正如我们的测量所示,血流动力学因素以及药物预防复发的质量对早期结果具有决定性影响。除了临床和X线形态学检查结果外,还使用示波图、多普勒超声、体积描记法和测力计参数来进行指征判断。同样,在病程和治疗的进一步监测中进行了血管功能检查。外周血流动力学的变化在收缩压梯度和指数的表现上能够得到特别好的反映。当具备经皮腔内血管成形术操作的技术和设备条件时,放射科医生和血管科医生之间密切的跨学科合作对于实现最佳治疗效果很重要。