Arciniegas J G, Soto B, Little W C, Papapietro S E
Am J Cardiol. 1981 Apr;47(4):890-4. doi: 10.1016/0002-9149(81)90190-9.
To assess the ability of biplane cineangiography in the diagnostic evaluation of acute dissection of the aorta, 20 patients with acute dissection were studied within 24 hours of surgery or autopsy, or both. Biplane large film aortic angiography was performed in 11 patients (Group I) and biplane aortic cineangiography in 9 (Group II). The morphology of the aortic valve was defined precisely in 5 (50 percent) of 10 patients in Group I and in all 9 patients (100 percent) in Group II (p less than 0.02). Aortic regurgitation weas diagnosed in all patients in both groups in whom it was present (p = not significant). Intimal tears were localized in 5 (50 percent) of 10 patients in Group I and in 8 (89 percent) of 9 in Group II (p less than 0.07). Intimal flaps were not identified angiographically in three patients in Group I and were identified in four patients (100 percent) in Group II (p less than 0.01). The presence of retrograde dissection was established in three (38 percent) of eight patients in Group I and in four (100 percent) of four patients in Group II (p less than 0.05). There was no difference in the ability to identify a nonclotted false lumen between cine and large film angiography. It is concluded that in addition to improved diagnostic capabilities, technical advantages make cineangiography a good alternative to large film angiography in the diagnostic evaluation of patients with acute dissection of the aorta.
为评估双平面电影血管造影术在急性主动脉夹层诊断评估中的能力，对20例急性主动脉夹层患者在手术或尸检（或两者皆有）的24小时内进行了研究。11例患者（第一组）接受了双平面大胶片主动脉血管造影，9例患者（第二组）接受了双平面主动脉电影血管造影。第一组10例患者中有5例（50%）主动脉瓣形态被精确界定，第二组9例患者中所有患者（100%）主动脉瓣形态被精确界定（p<0.02）。两组中所有存在主动脉反流的患者均被诊断出主动脉反流（p=无显著性差异）。第一组10例患者中有5例（50%）发现内膜撕裂，第二组9例患者中有8例（89%）发现内膜撕裂（p<0.07）。第一组有3例患者血管造影未发现内膜瓣，第二组有4例患者（100%）发现内膜瓣（p<0.01）。第一组8例患者中有3例（38%）发现逆行夹层，第二组4例患者中有4例（100%）发现逆行夹层（p<0.05）。电影血管造影和大胶片血管造影在识别未形成血栓的假腔方面能力无差异。得出的结论是，除了诊断能力提高外，技术优势使电影血管造影术在急性主动脉夹层患者的诊断评估中成为大胶片血管造影术的良好替代方法。
