Murphy J D, Hill J A
Division of Cardiology, University of Florida, Gainesville 32610.
Curr Opin Cardiol. 1994 Jul;9(4):483-92.
Most of the methods of diagnostic angiography currently in use are well established, although newer methods such as intravascular ultrasound and Doppler measurement of coronary blood flow velocity have been introduced. This review concentrates on several recent developments in diagnostic catheterization, including the appropriate application of diagnostic catheterization and complications. Balloon coronary angioplasty, also a relatively mature technology, has reached the stage where its appropriate use, case selection, and outcomes are being scrutinized, as was reflected in the reports published last year. Its appropriate role in relation to coronary artery bypass surgery, and the continuing effort to solve the problem of restenosis are also reviewed.
目前使用的大多数诊断性血管造影方法都已成熟，尽管诸如血管内超声和冠状动脉血流速度多普勒测量等新方法也已问世。本综述重点关注诊断性心导管检查的几项最新进展，包括诊断性心导管检查的合理应用及并发症。球囊冠状动脉成形术也是一项相对成熟的技术，去年发表的报告反映出，其合理应用、病例选择及治疗效果正受到审视。本文还综述了其相对于冠状动脉旁路移植术的合理作用，以及为解决再狭窄问题所做的持续努力。
