Baudrillard J C, Foucart H, Defache C H, Lerais J M, Cécile J P
Département d'Imagerie Médicale, Centre Hospitalier de Lens.
Ann Cardiol Angeiol (Paris). 1993 May;42(5):A27-34.
Since 1987, the authors have routinely combined angioscopy with angioplasty of peripheral arteries. In a series of 251 angioplasties carried out in 191 patients, angioscopy was found to be more specific and more sensitive than arterial angiography in the etiological diagnosis of arterial stenoses and/or obstructions. Angioscopic findings modified the angioplasty procedure in 29% of cases. Using an inflatable catheter remains the most commonly used approach (230 cases); in 10 cases, this was preceded by thromboaspiration and in 4 cases by dotterization. Angioscopic support was useful in carrying out difficult manoeuvres (monitoring of the angioplasty in 4 cases, correct orientation of the guide into the lumen in 14 cases, installation of an endoprosthesis in 9 cases, arterial biopsy in 5 cases and sampling of an atheroma in 8 cases).
自1987年以来，作者一直常规地将血管镜检查与外周动脉血管成形术相结合。在对191例患者进行的251次血管成形术系列中，发现血管镜检查在动脉狭窄和/或阻塞的病因诊断中比动脉血管造影更具特异性和敏感性。血管镜检查结果在29%的病例中改变了血管成形术的操作。使用可充气导管仍然是最常用的方法（230例）；10例在使用可充气导管之前进行了血栓抽吸，4例在使用可充气导管之前进行了腔内血管成形术。血管镜支持有助于进行困难的操作（4例监测血管成形术，14例将导丝正确导入管腔，9例安装血管内支架，5例进行动脉活检，8例对动脉粥样硬化斑块进行取样）。
