Voges E M, Happel L, Störkel S, Thelen M
Klinik mit Poliklinik für Radiologie, Johannes-Gutenberg-Universität Mainz.
Rofo. 1994 Dec;161(6):551-8. doi: 10.1055/s-2008-1032584.
The ability of angioscopy, angiography and sonography to evaluate arteriosclerotic vascular lesions were compared to determine if angioscopy is a valuable addition in the diagnostic armamentarium.
An in-vitro study was selected to enable microscopic assessment of the arteries. Angiography was followed by sonography and endoscopy and finally the vessels were evaluated macro- and microscopically.
The configuration of the vascular stenosis (plaque-shape, semicircular-eccentric, circular-concentric) was more reliably defined with angioscopy as compared to angiography and sonography. Intense calcification of plaque was detected sonographically with a high sensitivity (90%) using the acoustic shadowing and high amplitude criteria. Angioscopy was superior in differentiating between simple and complicated plaques and the assessment of ulcerations, while the visualization of the entire vascular tree with potential collaterals remained the domain of angiography.
Angioscopy seems to be valuable addition in the evaluation of arterial vascular disease. It can be used in the quality control after interventional radiology and surgery.
比较血管内镜、血管造影和超声检查评估动脉硬化性血管病变的能力，以确定血管内镜在诊断手段中是否是一种有价值的补充。
选择一项体外研究以便对动脉进行微观评估。先进行血管造影，然后进行超声检查和内镜检查，最后对血管进行宏观和微观评估。
与血管造影和超声检查相比，血管内镜能更可靠地确定血管狭窄的形态（斑块形状、半圆形偏心、圆形同心）。使用声影和高振幅标准，超声检查对斑块的强烈钙化检测具有高灵敏度（90%）。血管内镜在区分简单斑块和复杂斑块以及评估溃疡方面更具优势，而血管造影仍是显示整个血管树及潜在侧支的方法。
血管内镜似乎是评估动脉血管疾病的一种有价值的补充。它可用于介入放射学和手术后的质量控制。
