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血管腔内介入治疗长段下肢动脉硬化闭塞症
引用本文:胡何节、邓福生、王晓天、孙小杰. 血管腔内介入治疗长段下肢动脉硬化闭塞症[J]. 医学研究杂志, 2010, 39(1): 106-108
作者姓名:胡何节、邓福生、王晓天、孙小杰
作者单位:安徽医科大学附属省立医院血管外科,合肥,230001
基金项目:安徽省临床医学应用技术项目资金资助 
摘    要:目的探讨血管腔内成形术对于TASC B、C型下肢动脉硬化性闭塞症的临床疗效。方法共40例患者(47条肢体),采用经皮穿刺股动脉,造影明确病变动脉部位及病变长度后,行球囊导管行扩张成形和血管内支架置入。术后采用彩色多普勒超声或CTA检查随访。结果47条肢体获得成功,技术成功率为96%,共置入自膨式支架31枚,16条仅行PTA。踝肱指数由术前的0.36±0.14增至术后7天的0.82±0.15;随访1~48个月,术后4例发生支架再闭塞,1例再狭窄,其余患者随访期内下肢血流通畅。讨论血管腔内成形术以其微创及安全性,可作为长段(包括膝下)动脉硬化性闭塞症治疗的可选手段。

关 键 词:动脉硬化性闭塞症  血管腔内成形术  支架
收稿时间:2009-09-17

Percutaneous Transluminal Angioplasty and Stent Placement for the Treatment of Long Segmental Atherosclerotic Occlusive Disease of Lower Limb
Hu Hejie,Deng Fusheng,Wang Xiaotian,Sun Xiaojie. Percutaneous Transluminal Angioplasty and Stent Placement for the Treatment of Long Segmental Atherosclerotic Occlusive Disease of Lower Limb[J]. Journal of Medical Research, 2010, 39(1): 106-108
Authors:Hu Hejie  Deng Fusheng  Wang Xiaotian  Sun Xiaojie
Affiliation:Hu Hejie,Deng Fusheng,Wang Xiaotian,Sun Xiaojie.Department of Vascular Surgery,Anhui Provincial Hospital,Anhui Medical University,Anhui 230001,China
Abstract:Objective To evaluate the clinical effects of endovascular angioplasty and stenting for the treatment of TASC B,C arteriosclerotic occlusion(ASO) of lower extremity.Methods After the identification of the occlusion by angiography via femoral artery access by Seldinger method,the occluded arteries (mean length 7.5cm; range 1~20 cm) in 40 patients(47limbs) were treated by percutaneous transluminal angioplasty and stent placement. Results The primary recanalization was successful in 45 of 47 limbs. The technic...
Keywords:Arteriosclerotic occlusion  Endovascular angioplasty  Stent  
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