Lahl R, Drevs G
Psychiatr Neurol Med Psychol (Leipz). 1980 Mar;32(3):152-63.
The paper reports on incidents after direct (percutaneous) carotid angiography. Since the occurrence of the symptoms after the intervention, which was often carried out in patients who were seriously ill, could individual cases only be considered with a certain probability as a consequence of the angiography, our own frequency data are not given. From Juli 1966 to the end of 1978, we carried out a total of 1228 direct carotid angiographies in 1086 patients at our establishment; in 11 persons who died after such an intervention had been carried out, local, sometimes massive pathomorphic findings, in three cases with cerebral complications, were recorded. The necessity of the presence of a correct indication for the performance of this diagnostic method, to which under adequate conditions catheter angiography and--where possible--other diagnostic procedures involving fewer risks should be preferred, is pointed out.
本文报道了直接(经皮)颈动脉血管造影术后的相关事件。由于干预措施(该措施常应用于重症患者)实施后症状才出现,个别病例仅能在一定概率上被认为是血管造影的结果,因此未给出我们自己的频率数据。1966年7月至1978年底,我们在本机构对1086例患者共进行了1228次直接颈动脉血管造影;在11例实施该干预措施后死亡的患者中,记录到有局部的、有时是广泛的病理形态学表现,其中3例伴有脑部并发症。文中指出了正确掌握该诊断方法适应证的必要性,在适当条件下,应优先选择导管血管造影以及(可能的话)其他风险较小的诊断程序。