| SilverHawk斑块切除系统治疗膝下动脉硬化闭塞 |
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| 引用本文： | 王梦宇,王兵,吴斐,许恒,潘锦轩,卢维龙.SilverHawk斑块切除系统治疗膝下动脉硬化闭塞[J].中国介入影像与治疗学,2019,16(2):92-96. |
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| 作者姓名： | 王梦宇 王兵 吴斐 许恒 潘锦轩 卢维龙 |
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| 作者单位： | 郑州大学第五附属医院血管外科 |
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| 基金项目： | 河南省高等学校重点科研项目（16B320023）。 |
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| 摘 要： | 目的探讨SilverHawk斑块切除系统治疗膝下动脉硬化闭塞的临床效果。方法采用SilverHawk斑块切除系统治疗34例(39条患肢)膝下动脉硬化闭塞患者,观察治疗效果及随访结果。结果患者围手术期无死亡。39条患肢中,31条(28例患者)顺行开通成功,8条(6例)逆行开通成功,治疗成功率100%(39/39),技术成功率92.31%(36/39)。术后1周患者跛行距离、趾肱指数(TBI)及踝肱指数(ABI)均高于术前(P均0.05)。术后随访2～46个月,平均(23.63±9.71)个月,溃疡愈合率90.00%(9/10);4条坏疽患肢中,1条膝下截肢。术后6、12、24个月患肢一期通畅率分别为87.18%(34/39)、82.05%(32/39)及71.79%(28/39),二期通畅率分别为94.87%(37/39)、92.31%(36/39)和84.62%(33/39)。结论采用SilverHawk斑块切除系统治疗膝下动脉硬化闭塞效果良好。
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| 关 键 词： | 动脉硬化 闭塞性 膝下动脉 斑块切除术 |
| 收稿时间： | 2018/7/24 0:00:00 |
| 修稿时间： | 2018/12/11 0:00:00 |
SilverHawk atherectomy in treatment of atherosclerotic occlusion of infrapopliteal artery |
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| WANG Mengyu,WANG Bing,WU Fei,XU Heng,PAN Jinxuan and LU Weilong.SilverHawk atherectomy in treatment of atherosclerotic occlusion of infrapopliteal artery[J].Chinese Journal of Interventional Imaging and Therapy,2019,16(2):92-96. |
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| Authors: | WANG Mengyu WANG Bing WU Fei XU Heng PAN Jinxuan and LU Weilong |
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| Institution: | Department of Vascular Surgery, the Fifth Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China,Department of Vascular Surgery, the Fifth Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China,Department of Vascular Surgery, the Fifth Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China,Department of Vascular Surgery, the Fifth Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China,Department of Vascular Surgery, the Fifth Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China and Department of Vascular Surgery, the Fifth Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China |
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| Abstract: | Objective To explore the therapeutic effect of SilverHawk atherectomy in the treatment of atherosclerotic occlusion of infrapopliteal arteries. Methods SilverHawk atherectomy was used to treat 34 patients (39 limbs) with atherosclerotic occlusion of infrapopliteal arteries. Then the therapeutic results and follow-up results were observed. Results There was no death during the perioperative period of SilverHawk atherectomy. Totally 31 limbs (28 cases) were treated antegradely, while 8 limbs (6 cases) were punctured retrogradely. The procedural success rate was 100% (39/39), and the technical success rate was 92.31% (36/39). One week after atherectomy, the claudication distance, toe brachial index (TBI) and ankle brachial index (ABI) were all higher than those before atherectomy (all P<0.05). All patients were followed up for 2 to 46 months (mean23.63±9.71] months), the ulcer healing rate was 90.00% (9/10), and 1 of 4 gangrenous limbs underwent amputation below the knee. The primary patency rate at 6, 12, 24 months was 87.18% (34/39), 82.05% (32/39) and 71.79% (28/39), respectively, while the secondary patency rate was 94.87% (37/39), 92.31% (36/39) and 84.62% (33/39), respectively. Conclusion SilverHawk atherectomy is effective in treatment of atherosclerotic occlusion of infrapopliteal artery. |
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| Keywords: | arteriosclerosis obliterans inferior genicular artery atherectomy |
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