A blood vessel status evaluation method and a blood vessel status evaluation device are provided. The method includes: obtaining at least one angiography image corresponding to a target user; selecting a target image from the angiography image; determining a blood vessel type of the target user according to a distribution status of a target blood vessel pattern in the target image; establishing a blood vessel topology structure corresponding to the target blood vessel pattern which includes information of a width of a blood vessel in the target blood vessel pattern and information of an intersection of blood vessel in the target blood vessel pattern; and automatically analyzing a blood vessel status of the target user according to the blood vessel type and the blood vessel topology structure.一種血管狀態評估方法與血管狀態評估裝置。所述方法包括:獲得對應於目標使用者的至少一血管造影影像;從所述血管造影影像中選擇目標影像;根據所述目標影像中的目標血管圖案的分布狀態判斷所述目標使用者的血管類型;建立對應於所述目標血管圖案的血管拓樸結構,其包含所述目標血管圖案中的血管的寬度之資訊與所述目標血管圖案中的血管分叉點之資訊;以及根據所述血管類型與所述血管拓樸結構自動分析所述目標使用者的血管狀態。