Correlation of the Antemortem Coronary Arteriogram and the Postmortem Specimen
Correlation of the Antemortem Coronary Arteriogram and the Postmortem Specimen
复制标题
生前冠状动脉造影与死后标本的相关性
作者：
Z. Vlodaver;R. Frech;R. V. Van tassel;J. Edwards
本文对10例冠心病诊断过程中所作的冠状动脉造影与尸检标本进行了对比研究。在两项研究的134段冠状动脉中，44段（33%）被给予阻塞性动脉粥样硬化的假阴性动脉造影诊断，可能导致这种差异的因素包括：（1）X线摄影技术，（2）使用的投影，（3）邻近粥样硬化的狭缝状管腔，（4）严重阻塞段与不严重阻塞段的比较，（5）对生活中存在的障碍标本的误解。
Correlative studies were carried out on the coronary arteriograms made during diagnostic procedures and on the specimens obtained at necropsy in 10 cases of coronary heart disease. Of the 134 segments of coronary arteries available for both studies, 44 (33%) were given false-negative arteriographic diagnosis of obstructive atherosclerosis.Factors which may underlie this discrepancy include (1) radiographic technic, (2) projection used, (3) a slitlike lumen adjacent to the atheroma, (4) comparison of severely obstructed segments involved but less severely obstructed, and (5) misinterpretation from the specimen of obstruction present in life.