Johnston K W, Demorais D, Colapinto R F
Angiology. 1981 Sep;32(9):609-14. doi: 10.1177/000331978103200904.
Accurate hemodynamic assessment of the severity of aorto-iliac disease has important implications in the management of patients with symptomatic peripheral arterial occlusive disease. This study has documented that history, clinical examination, and single-plane angiography are often unsatisfactory for assessing the hemodynamic significance of an aorto-iliac lesion. The use of oblique angiographic views, certain noninvasive methods, such as quantitative Doppler waveform analysis, and direct pressure measurements will be of benefit in difficult cases and lead to a more accurate diagnosis.
准确评估主-髂动脉疾病严重程度的血流动力学情况,对有症状的外周动脉闭塞性疾病患者的治疗具有重要意义。本研究表明,病史、临床检查及单平面血管造影往往无法令人满意地评估主-髂动脉病变的血流动力学意义。采用斜位血管造影、某些非侵入性方法(如定量多普勒波形分析)以及直接压力测量,对于疑难病例将有所帮助,并能得出更准确的诊断结果。