Crew J R, Dean M, Johnson J M, Knighton D, Bashour T T, Ellertson D, Hanna E S
Am J Surg. 1984 Aug;148(2):217-20. doi: 10.1016/0002-9610(84)90224-1.
We propose that circumstances exist in which angiography is not necessary or is unwarranted for the diagnosis and treatment of carotid arterial disease. High quality real-time B-mode ultrasonographic imaging, combined with both pulsed gated, and continuous wave Doppler analysis, shows a remarkably close correlation with the pathologic abnormality identified at operation. Scanning in the vascular laboratory not only provides quick, noninvasive, accurate assessment of the atherosclerotic disease, it can also provide plaque and blood flow detail not previously attainable. Carotid surgery can be effectively and safely performed in selected patients with the aid of ultrasonography and Doppler analysis without the need for invasive angiographic imaging.
我们认为，在某些情况下，血管造影对于颈动脉疾病的诊断和治疗并非必要或不合理。高质量的实时B型超声成像，结合脉冲门控和连续波多普勒分析，与手术中发现的病理异常显示出非常密切的相关性。在血管实验室进行扫描不仅可以快速、无创、准确地评估动脉粥样硬化疾病，还能提供以前无法获得的斑块和血流细节。借助超声检查和多普勒分析，在选定的患者中可以有效且安全地进行颈动脉手术，而无需进行侵入性血管造影成像。
