無症状の頸動脈の非侵襲的評価
D C Brewster1, W M Abbott, R C Darling
1General Surgical Services, Clinical Vascular Laboratory, Massachusetts General Hospital, Boston, Massachusetts, USA.
Circulation
|September 1, 1978
まとめ
眼性肺動脈分析,頸動脈音頻分析,脳ドップラー分析を組み合わせた非侵襲的な脳血管評価は,さらなる介入を必要とする無症状の頸動脈騒音の患者を効果的に特定し,他者では不要な手順を安全に回避します.
科学分野:
- 神経学 神経学とは
- 血管外科 血管外科
- 診断用イメージング
背景:
- 無症状の頸動脈の臨床管理は依然として議論の余地があります.
- アンジオグラフィーと手術の必要性については,大きな違いがあります.
- 正確な非侵襲的方法は,患者の層分化に不可欠です.
研究 の 目的:
- 無症状の頸動脈の非侵襲的な脳血管評価を組み合わせて評価する.
- この診断アプローチの信頼性と有効性を判断する.
- アンジオグラフィーと外科的介入に関する意思決定を導くために.
主な方法:
- 非侵襲的評価は,眼性肺動脈分析 (OPPG),頸動脈音頻分析 (CAA),脳ドップラー分析を組み合わせたものです.
- 研究には,無症状の頸動脈腫の連続した165人の患者が含まれていました.
- 結果は,血管撮影のための指針として推奨された.
主要な成果:
- 併用された非侵襲的アプローチは高い信頼性を示しました.
- アンジオグラフィーは,陽性な結果を持つ患者の42%に推奨されました.
- 血管検査は,ネガティブな結果を持つ患者の58%で無事に中止されました.
- この方法は,偽陽性 (2) と偽陰性 (1) の割合が低かった.
結論:
- この非侵襲的な脳血管の評価は,無症状の頸動脈腫の患者の管理に有効です.
- これは,さらなる侵襲的な調査を必要とする患者を安全に選択するのに役立ちます.
- このアプローチは,不必要な血管図と外科推薦を減らすことができます.
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