Duplex ultrasonography, digital subtraction angiography, and conventional angiography in assessing carotid atherosclerosis.
Duplex ultrasonography, digital subtraction angiography, and conventional angiography in assessing carotid atherosclerosis.
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复式超声检查、数字减影血管造影和常规血管造影评估颈动脉粥样硬化。
DOI：
10.1001/archsurg.1984.01390180032006
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发表时间：
1984
影响因子：
--
通讯作者：
Robert W. Holden
中科院分区：
文献类型：
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作者：
J. L. Glover;P. J. Bendick;Valerie P. Jackson;Gary J. Becker;Russell Dilley;Robert W. Holden
我们前瞻性地比较了多普勒超声、数字减影血管造影（DSA）和传统血管造影对494支颈动脉粥样硬化的评价。将动脉独立分级为正常、轻度狭窄、中度狭窄、重度狭窄或闭塞。在434支血管中，296支（68%）血管的疾病严重程度在多普勒超声和DSA之间绝对一致，另外119支血管（28%）相关性良好，19支血管（4%）相关性较差。当双功超声检查与传统血管造影进行比较时，相关性相似：85支血管中的60支（71%）为绝对相关，85支血管中的17支（20%）为良好相关，85支血管中的8支（9%）为差相关。以常规血管造影为标准，双功检查倾向于高估64%血管的疾病严重程度，低估36%，DSA分别为28%和72%。我们的结论是，多普勒超声是准确的评估颈动脉分叉动脉粥样硬化DSA。DSA低估疾病严重程度的倾向可能导致非阻塞性斑块患者的诊断错误。
We prospectively compared duplex ultrasonography with digital subtraction angiography (DSA) and conventional angiography in the evaluation of carotid atherosclerosis by studying 494 arteries. Arteries were graded independently as normal, mildly stenotic, moderately stenotic, severely stenotic, or occluded. There was absolute agreement between duplex ultrasonography and DSA as to disease severity in 296 (68%) of 434 vessels, good correlation in an additional 119 vessels (28%), and poor correlation in 19 vessels (4%). When duplex studies were compared with conventional angiograms, the correlations were similar: absolute for 60 (71%) of 85 vessels, good for 17 (20%) of 85 vessels, and poor for eight (9%) of 85 vessels. With conventional angiography as the standard, duplex studies tended to overestimate the severity of disease in 64% of vessels and underestimate it in 36%, v 28% and 72%, respectively, for DSA. We concluded that duplex ultrasonography is as accurate as DSA in assessing carotid bifurcation atherosclerosis. The tendency of DSA to underestimate disease severity may lead to diagnostic errors in patients with nonobstructive plaques.