Arteriografik Yanılmalar ve Yetersizlikler

Year 1972, Volume: 25 Issue: 6 , 1356 - 1365 , 31.12.1972

Ahmet Yaycıoğlu

https://izlik.org/JA93UT32ZK

Abstract

Kronik gidişli tıkayıcı çevrel arter hastalıklarında cerrahi tedavi angio grafik bulgulara göre seçilir. Ancak angiografik bulgular, arter duvarındaki hastalıklı segmenti sınırlar. Patolojik değişikliklerden daha dar (küçük) göstermektedir. Çoğu zaman bunun nedeni tek yönlü yapılan arteriografilerdir. Bu husus bilinerek cerrahi sınırların daha geniş olacağını müdahaleden önce kabul etmek lazımdır. Ayrıca angiografiden sonra hastanın ameliyatı için uzun süre beklememek icap eder. Zira angiografiden sonra sekonder tromboz görülmektedir.

Keywords

Angiografi , Arteriografi , Periferik Arter Hastalığı

Ethical Statement

.

Supporting Institution

.

Project Number

.

Thanks

.

Arteriographic Misinterpretations and Limitations

https://izlik.org/JA93UT32ZK

Abstract

In chronic occlusive peripheral arterial disease, surgical treatment is selected based on angiographic findings. However, angiography primarily delineates the diseased arterial segments, often underestimating the extent of pathological changes. This underestimation is frequently due to the unidirectional nature of conventional arteriography. It is essential to recognize this limitation and accept, prior to intervention, that the actual surgical margins may need to be broader than what is suggested by the angiographic images. Additionally, a prolonged delay between angiography and surgery should be avoided, as secondary thrombosis may occur following angiographic procedures.

Keywords

Angiography , Arteriography , Peripheral Arterial Disease

Ethical Statement

.

Supporting Institution

.

Project Number

.

Thanks

.

References

• 1. ALLEN - BAKER HINES.,: Peripheral Diseases pp 450, 1962
• 2. ANTHONY J. E, Jr., : Complications of Aotographies. Arch Surg, 76 26, 1958
• 3. BAITSCH R., : Ubörden Wert Serienarteriographie Zur Früher kenung und Fürdie Prognoze Arterieller Durchblu tungestörungen. Internist (Berlin) 2 : 695 703, Dec 960
• 4. BARKE. D, Zbl. Chir. 87 + 12 • 480, 1962
• 5. CARL S., HOAR, Jr MD., : Expirience with Feforal Arteriographpy in Diabetic peripheral vasküler disease. Surg Gynec Obstet. 826 833 Vol 123 Num : 4 oct. 1966
• 6. CRAWFORD E. S., BEAL A. C., MOYERJ. H., DE BAKEY M. Complications of Aortography. Surg gynec Obstet. 104 : 129 141, Feb, 1957
• 7. CURRY AND HOWLAND, : Arteriographiy - Principles and technic, W. B. Saunders Company Phil lond Toronto 1962.
• 8. DAVIS H. A.,: Principles of Surgical Phisiology. 325. A. Hobper Bo-0k. 1957
• 9. ELKIN D. C., DE BAKEY M. Vasvulan Surgery in Warld war 11, Deparment of the army Washington D. ., 1955
• 10. KNOX G. V. , WEST J. P.,: Abdominal aortography and femoral arteriography. Useful diagnostic tool in expirienced hands. New York Medical Journal. 61 • 3844 - 3848 15. Nov 1961.
• 11. MARGULIS A. R., AND NICEC M., MURPHY T. Arteriographic manigestations of pjeripheral occlusive vascular diesases. Tne Amer Jour of Roent. '78 : 273 282, Aug. 1957.
• 12. MC J. G., AND WILLISONI A Rewiue of translomber ao tography complications The Amer Jour Roent. 75 : 957 970, 1956
• 13. REBOUL. H ET VERGOZ Lactuelle valeur de Larterio - phlebographie de Laortographie de membres dans les arteriopathies puep heriques. Gazette Medical de France. 65 • 857 - 877, 10. Mai 1958. 14. SELDINGER S.I., : Catheter replacement of needle in percutanous teriograhpy. A new Technique. Acta Radiol. 39 : 368, 1953,
• 15. STEINBERG L.,; Clinical evaluation of intravenous abdominal aortography ano parepheral arteriography. Circulation, 23 : 534 - 549, 1961.