Kinnison M, Perler B A, White R I, Chang R, Kadir S, Mitchell S E, Kaufman S L, Williams G M
AJR Am J Roentgenol. 1984 Jun;142(6):1205-9. doi: 10.2214/ajr.142.6.1205.
A tailored approach for evaluating patients with peripheral vascular disease has been developed using intravenous digital subtraction angiography (IV DSA). This approach includes a history, physical examination, and correlation with Doppler pressure measurements to predict the location of the dominant lesion. In 60 patients, two views of the aortoiliac segment plus three or four views of the femoral and runoff circulation in the most symptomatic leg were obtained. Of the 60 patients, 36% had percutaneous transluminal angioplasty as a primary form of therapy, 32% were treated surgically, and 32% were followed clinically. Only 10% of these patients required further evaluation by conventional angiography. By omitting inpatient arteriography, considerable financial savings and increased patient comfort result.
已经开发出一种使用静脉数字减影血管造影（IV DSA）评估外周血管疾病患者的定制方法。该方法包括病史、体格检查以及与多普勒压力测量结果相关联，以预测主要病变的位置。对60例患者，获取了腹主动脉髂动脉段的两个视图，以及最有症状一侧下肢股动脉和流出道循环的三或四个视图。在这60例患者中，36%接受了经皮腔内血管成形术作为主要治疗方式，32%接受了手术治疗，32%接受了临床随访。这些患者中只有10%需要通过传统血管造影进行进一步评估。通过省略住院动脉造影，可节省大量资金并提高患者舒适度。
