Pevec W C
Department of Surgery, University of California, Davis, Sacramento 95817, USA.
Ann Vasc Surg. 1996 Jan;10(1):66-75. doi: 10.1007/BF02002345.
Although angioscopy is considered by many vascular surgeons to be a valuable clinical tool, others view it as expensive and unnecessary. To better define the appropriate role for angioscopy in vascular surgery, a critical review of the recent literature was undertaken. Angioscopy allows more complete valvulotomies with fewer endothelial injuries when preparing autogenous veins to be used as arterial conduits, and results in more complete thromboembolectomy of native arteries and grafts. Angioscopy can replace completion arteriography in infrainguinal arterial reconstructions with an equivalent clinical outcome. Angioscopy may be useful in the assessment of carotid endarterectomy, femoral vein valve repair, and pulmonary embolectomy. It has been useful in various research applications. The rate of complications is less than 1%. Angioscopy is of benefit in preparing veins to be used as arterial conduits and in performing thromboembolectomy. In some circumstances it can replace intraoperative arteriography. Other applications await further validation. The risks of angioscopy are acceptably low.
尽管血管镜被许多血管外科医生视为一种有价值的临床工具，但也有其他人认为它昂贵且不必要。为了更好地界定血管镜在血管外科中的恰当作用，我们对近期文献进行了批判性综述。在准备用作动脉管道的自体静脉时，血管镜可实现更完整的瓣膜切开术，同时减少内皮损伤，并且能更彻底地清除天然动脉和移植物中的血栓栓塞。在腹股沟下动脉重建中，血管镜可替代完成性动脉造影，临床结果相当。血管镜在颈动脉内膜切除术、股静脉瓣膜修复和肺栓子切除术的评估中可能有用。它在各种研究应用中也很有用。并发症发生率低于1%。血管镜在准备用作动脉管道的静脉以及进行血栓栓塞清除方面有益。在某些情况下，它可以替代术中动脉造影。其他应用有待进一步验证。血管镜的风险低到可以接受。
