Samec P, Zeiler K
Wien Klin Wochenschr. 1978 May 26;90(11):374-7.
Comprehensive angiographical investigation is a prerequisite for successful vascular surgery in the region of the head and neck. An examination of the clinically involved region alone is not normally sufficient. The decision to operate can be made only after taking into account the results of cerebral panarteriography, i.e. investigation of the flow areas of both carotid arteries and the vertebral-basilary circulation, together with any comparable method, the advantages and dangers must be flow measurement. Transfemoral cerebral angiography (TCA) is not only the least strenuous method for the patient, butit is also the most effective available, especially as far as assessment of the origins of the four large cranio-cervical vessels is concerned. However, as with any comparable method, the advantages and angers must be weighed up carefully beforehand in each individual case. A definite indication is absolutely necessary. This paper describes the technique, indications and results of investigations in 70 patients suffering from cerebrovascular diseases.
全面的血管造影检查是头颈部区域血管手术成功的前提条件。仅对临床受累区域进行检查通常是不够的。只有在考虑脑全动脉造影的结果后才能做出手术决定，即对双侧颈动脉的血流区域以及椎动脉 - 基底动脉循环进行检查，连同任何可比方法一起，必须进行血流测量的利弊权衡。经股动脉脑血管造影（TCA）不仅对患者来说是最轻松的方法，而且也是目前最有效的方法，特别是在评估四大颅颈血管的起源方面。然而，与任何可比方法一样，在每个具体病例中都必须事先仔细权衡利弊。明确的适应症是绝对必要的。本文描述了对70例脑血管疾病患者进行检查的技术、适应症和结果。
