Pemberton M, Nydahl S, Hartshorne T, Naylor A R, Bell P R, London N J
Department of Vascular Surgery, Leicester University, Leicester Royal Infirmary, U.K.
Eur J Vasc Endovasc Surg. 1996 Nov;12(4):452-4. doi: 10.1016/s1078-5884(96)80013-x.
To determine the safety and efficacy of Duplex scanning as the only imaging modality prior to lower limb vascular reconstruction.
Retrospective review.
A single university vascular unit.
Review of all lower limb vascular reconstructions over a 2 year period.
Eighty-five limbs underwent vascular reconstruction based on colour Duplex alone. A wide range of revascularising operations were performed, including 29 cases of infragenicular reconstruction. In the latter cases, the findings of Duplex scanning were confirmed by on table pre-reconstruction angiography in 28 cases and the graft occlusion rate in the first month was 14%. There were no postoperative complications that could be attributed to a failure of preoperative Duplex imaging.
Vascular reconstruction can be undertaken safely in patients with lower limb arterial disease on the basis of Duplex scanning alone.
确定在下肢血管重建术前，双功超声扫描作为唯一成像方式的安全性和有效性。
回顾性研究。
一所大学的血管专科。
回顾2年内所有下肢血管重建手术。
仅根据彩色双功超声对85条肢体进行了血管重建。实施了多种血管重建手术，包括29例膝下重建手术。在后一组病例中，28例术中重建前血管造影证实了双功超声扫描的结果，第一个月移植血管闭塞率为14%。没有术后并发症可归因于术前双功超声成像的失败。
仅基于双功超声扫描，下肢动脉疾病患者即可安全地进行血管重建。
