无脉症的血管造影观察

本文报告34例无脉症的血管造影结果。除7例仅累及头臂动脉外,27例(79.4％)同时累及了主动脉及其它分支。34例共累及137支动脉,平均每例为4.02支。34例的锁骨下动脉均受累,其中双侧病变19例,单侧15例,左右两侧受犯数相近(29:27例)。侵及椎动脉口以近者占37％(右)和53.6％(左)。7例出现锁骨下动脉窃血综合征。无脉症在血管造影上主要表现为动脉的狭窄或闭塞性改变。

Angioglaphic Observation on Pulseless Disease

The angiographic results of 34 cases of pulseless disease were reported. Stenotic-occlusive lesions in seven cases only were limited in brachiocephalic arteries. Aortaand its main branches were involved simultaneously in 27 patients. The number ofinvolved vessels was 137 in average 4.03 arteries per case. The subclavian arterywas involved in all 34 patients: 19 bilaterally and 15 unilaterally, left side in 29cases and right side in 27 cases. 37%(right side) and 58.6%(left side) of the patientshad stenotic-occlusive disease of the subclavian artery proximal to the origin of thevertebral artery. Seven patients had subclavian steal syndrome, all on the left side.