Barber G G, Fong H, McPhail N V, Scobie T K
Can J Surg. 1980 Nov;23(6):542-4.
A test for assessing stenosis in the aortoiliac segment is described in which femoral pressure is measured directly by continuous monitoring and an intra-arterial injection of papaverine is used to augment blood flow. This test has been described previously but is not widely used. A prospective study of this test was carried out on 64 patients and the results were compared with those obtained by aortography. The test helped to determine whether an operation on the aortoiliac segment was indicated. Clinical results were assessed. Thirty-two of the 64 patients were found to have significant inflow disease (more than 50% stenosis). They underwent aortic reconstruction with total relief or improvement of symptoms in all cases. Aortography demonstrated an essentially normal aortoiliac segment in 3 of the 32 patients and 16 had only irregular segments with no definite stenosis. The authors conclude that any patient presenting with sufficient indication to warrant reconstructive surgery who has a normal or equivocal angiogram should undergo the papaverine pressure test.
本文描述了一种用于评估主髂动脉段狭窄的检测方法，该方法通过连续监测直接测量股动脉压力，并使用动脉内注射罂粟碱来增加血流量。该检测方法此前已有描述，但未被广泛应用。对64例患者进行了该检测的前瞻性研究，并将结果与主动脉造影所得结果进行了比较。该检测有助于确定是否需要对主髂动脉段进行手术。评估了临床结果。64例患者中有32例被发现存在严重的流入道疾病（狭窄超过50%）。他们均接受了主动脉重建手术，所有病例的症状均得到完全缓解或改善。主动脉造影显示，32例患者中有3例主髂动脉段基本正常，16例仅有不规则段，无明确狭窄。作者得出结论，任何有足够指征进行重建手术但血管造影正常或不明确的患者都应接受罂粟碱压力检测。
