Arteriographic study of sites, incidence, and treatment of arteriosclerotic cerebrovascular lesions
Arteriographic study of sites, incidence, and treatment of arteriosclerotic cerebrovascular lesions
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动脉硬化性脑血管病变部位、发生率和治疗的动脉造影研究
作者：
R. Bauer;S. Sheehan;N. Wechsler;J. Meyer
自从脑动脉造影术问世以来，不透射线造影剂的改进，使得动脉造影术能阳性证实脑血管疾病。多年来，颈动脉造影术已允许研究大多数半球颅内血管，但最近的技术进步使研究椎-基底动脉系统的颅内分布以及从主动脉弓到大脑的脑动脉的颅外行程成为可能。一般的医学和神经学检查以及颈部血管听诊11可以对大多数患有闭塞性脑血管病的患者做出准确的诊断。虽然脑电图、颈动脉压迫试验、眼底血流动力学测量和臂视网膜循环时间12.13有助于确诊，但动脉造影术目前仍是唯一提供阳性确认的方法。对大量有脑缺血症状的患者进行的动脉造影研究表明，颅外血管的手术可及病变很常见。本文的目的是介绍一项系统性动脉造影研究的结果，该研究旨在确定大型综合医院收治的脑缺血病例中手术可及病变的发生率。作为临床研究项目的一部分，* 大多数脑血管病患者的T B i s是脑血管病颅外原因的研究的一部分。由美国国家心脏研究所赞助。S.公共卫生服务，在迈克尔E。德贝基
IMPROVEMENTS in radiopaque contrast media, since the introduction of cerebral arteriography,’-z now permit positive arteriographic confirmation of cerebrovascular disease. For many years carotid arteriography has permitted study of most of the hemispheric intracranial vessels, but recent technical advances have made it possible to investigate the intracranial distribution of the vertebral-basilar arterial system as well as the extracranial course of the cerebral arteries from the aortic arch to the brain.3-10 Careful clinical study, including history, general medical and neurologic examination with auscultation of the vessels in the neck,11 make accurate diagnosis possible in the majority of patients suffering from occlusive cerebrovascular disease. While electroencephalography, carotid compression tests, ophthalmodynamometry, and arm-toretina circulation times12.13 aid in establishing the diagnosis, arteriography, at present, remains the only method for providing positive confirmation. Arteriographic investigation of large series of patients with symptoms of cerebral ischemia has indicated that surgically accessible lesions of extracranial vessels are common. The purpose of this cammunication is to present the findings in a systematic arteriographic study designed to define the incidence of surgically accessible lesions in cases of cerebral ischemia admitted to a large general hospital. As part of a program of clinical investigation* the majority of patients with cerebrovasO T b i s is part of R aollaborative study of extracranial causes of cerebrovascular disease. sponsored by the National Heart Institute of the U. S. Public Health Service, under the chairmanship of Dr. Michael E. DeBakey.