腔内治疗腹主-双髂动脉闭塞疗效分析

目的评价腔内治疗腹主-双髂动脉闭塞性疾病(ABIOD)的安全性及有效性。方法搜集2016年6月至2020年6月经CT血管造影(CTA)或数字减影血管造影(DSA)明确诊断的22例ABIOD患者的临床资料及影像学资料。急性闭塞患者行对吻支架置入术,考虑新鲜血栓形成患者给予置管溶栓术治疗后复查造影后行支架置入术。术后随访观察患者术后并发症、症状改善情况。评价血管腔内治疗ABIOD的安全性、有效性。结果 9例支架置入前行置管溶栓治疗,13例直接行支架置入术。22例患者均成功置入支架,20例患者置入KISS对吻支架,2例置入双侧髂动脉支架,共置入支架60枚,技术成功率100%。13例住院期间下肢缺血症状消失,8例住院期间下肢缺血症状明显改善,1例术后出现肝、肾功能衰竭死亡。术后3天患者平均踝肱指数(ABI)为0.92±0.08,较术前0.22±0.13明显提高,差异存在统计学意义(P<0.05),术后6个月Rutherford临床分级为0.33±0.58,较术前3.81±0.60明显降低,差异存在统计学意义(P<0.05)。术后随访时间9～57个月,平均(32.14±14.88)个...

Efficacy Analysis of Endovascular Treatment of Aorto-Bi-Iliac Artery Occulisive Disease

Objective To evaluate the safety and effectiveness of endovascular treatment for the aorto-bi-iliac artery occlusive disease. Methods The clinical data and imaging examinations of 22 patients with aorto-bi-iliac artery occlusive disease diagnosed by CTA or DSA from June 2016 to June 2020 were retrospectively analyzed. Patients with acute occlusion were treated with kiss stent implantation while patients with fresh thrombus were treated with catheter thrombolysis and then underwent stent implantation after reexamination by angiography.The complications and symptomatic improvement of patients were followed-up after operation to evaluate the safety and effectiveness ofthe treatment. Results 9 cases were trea-ted with thrombolysis before stent implantation,and 13 cases were treated with stent implantation directly. All the 22 patients were successfully implanted with stents,20 patients were implanted with Kiss stents,and 2 patients were implanted with bilateral iliac artery stents. A total of 60 stents were implanted and the technical success rate was 100%. The symptoms of lower extremity ischemia in 13 cases disappeared during hospitalization and symptoms in 8 cases improved significantly during hospitalization. One patient died of liver and kidney failure after surgery. The average of ankle brachial index( ABI) of the patients was 0. 92 ±0. 08 3 days after operation,which was significantly higher than 0. 22 ±0. 13 before operation,and the Rutherford’s clinical grade was 0. 33 ± 0. 58 6 months after operation,which was significantly lower than 3. 81± 0. 60 before operation. Thedifference is statistically significant( P < 0. 05). The mean follow-up period was 9-57( 32. 14± 14. 88) months. 4 patients developedstenosis after surgery,then received another endovascular treatment. Primary patency was 81%. Conclusion Endovascular interventional therapy for aorto-bi-iliac artery occlusive disease is a safe and effective method.