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Objective To investigate the value of endovascular surgery for the treatment of thromboangitis obliterans (TAO). Methods Sixteen patients (18 limbs) with thromboangitis obliterans were treated by percutaneous transluminal plasty (PTA). Results Angiographic success on the limb basis was achieved in 15 of 18 treated limbs and the initial technical success rate was 83.34%. Doppler anklebrachial index (ABI) increased from 0.33±0.16 to 0.79±0.23 one week after PTA. The follow-up time was 2~24 months, the average time was 10.84 months. The 3-month, 12-month accumulated primary patency rate were 81.33% and 60. 23% respectively. Conclusion PTA is effective primary invasive treatment for thromboangitis obliterans yielding acceptable primary clinical success with a low complication rate and resulting in moderate long-term clinical patency and a high limb salvage rate. 相似文献
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Objective To investigate the value of endovascular surgery for the treatment of thromboangitis obliterans (TAO). Methods Sixteen patients (18 limbs) with thromboangitis obliterans were treated by percutaneous transluminal plasty (PTA). Results Angiographic success on the limb basis was achieved in 15 of 18 treated limbs and the initial technical success rate was 83.34%. Doppler anklebrachial index (ABI) increased from 0.33±0.16 to 0.79±0.23 one week after PTA. The follow-up time was 2~24 months, the average time was 10.84 months. The 3-month, 12-month accumulated primary patency rate were 81.33% and 60. 23% respectively. Conclusion PTA is effective primary invasive treatment for thromboangitis obliterans yielding acceptable primary clinical success with a low complication rate and resulting in moderate long-term clinical patency and a high limb salvage rate. 相似文献
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传统手术结合腔内支架成形治疗下肢动脉多节段闭塞性病变28例 总被引:1,自引:0,他引:1
下肢动脉多节段闭塞性病变在下肢动脉硬化性闭塞症患者中占有一定的比例,临床上最常见的是主髂动脉合并股腘动脉闭塞。我院自1999年3月至2004年2月采用传统手术与腔内支架结合治疗下肢动脉多节段闭塞性病变共28例,现报告如下。 相似文献
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目的探讨动脉粥样硬化性肾动脉狭窄外科治疗方法的选择和疗效。方法回顾性分析1998年1月—2013年6月收治的80例经外科治疗的动脉粥样硬化性肾动脉狭窄的临床资料。结果本组男58例,女22例,年龄59~83岁。80例均有高血压、肾功能不全,经计算机断层X线血管造影、磁共振血管造影或数字减影血管造影确诊。全组共接受外科治疗83例次,其中支架成形73例次,球囊扩张6例次,腹主动脉肾动脉旁路3例次,肾动脉内膜切除1例次。80例均无围手术期死亡。随访67例,随访时间6~141个月,有3例发生远期死亡。随访患者血压为(140.3±14.4)/(78.1±8.3)mmHg,肌酐(130.7±65.2)μmol/L,与术前血压(152.5±18.3)/(83.1±9.3)mmHg与肌酐(145.8±90.3)μmol/L比较,差异有统计学意义(P0.05)。本组降压治疗有效率59.4%(38/64)。结论动脉粥样硬化性肾动脉狭窄通过外科治疗可有效改善血压和稳定肾功能,治疗方法首选腔内支架成形术。部分患者术后血压控制不佳主要原因可能是原发性高血压合并肾动脉狭窄。 相似文献
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Objective To investigate the value of endovascular surgery for the treatment of thromboangitis obliterans (TAO). Methods Sixteen patients (18 limbs) with thromboangitis obliterans were treated by percutaneous transluminal plasty (PTA). Results Angiographic success on the limb basis was achieved in 15 of 18 treated limbs and the initial technical success rate was 83.34%. Doppler anklebrachial index (ABI) increased from 0.33±0.16 to 0.79±0.23 one week after PTA. The follow-up time was 2~24 months, the average time was 10.84 months. The 3-month, 12-month accumulated primary patency rate were 81.33% and 60. 23% respectively. Conclusion PTA is effective primary invasive treatment for thromboangitis obliterans yielding acceptable primary clinical success with a low complication rate and resulting in moderate long-term clinical patency and a high limb salvage rate. 相似文献
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Objective To investigate the value of endovascular surgery for the treatment of thromboangitis obliterans (TAO). Methods Sixteen patients (18 limbs) with thromboangitis obliterans were treated by percutaneous transluminal plasty (PTA). Results Angiographic success on the limb basis was achieved in 15 of 18 treated limbs and the initial technical success rate was 83.34%. Doppler anklebrachial index (ABI) increased from 0.33±0.16 to 0.79±0.23 one week after PTA. The follow-up time was 2~24 months, the average time was 10.84 months. The 3-month, 12-month accumulated primary patency rate were 81.33% and 60. 23% respectively. Conclusion PTA is effective primary invasive treatment for thromboangitis obliterans yielding acceptable primary clinical success with a low complication rate and resulting in moderate long-term clinical patency and a high limb salvage rate. 相似文献
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