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| 腹主联合双髂动脉阻塞的介入方法学评价 | |
| 引用本文： | 张曦彤,王少雷,杨松,陈春,李大勇,杨孟华,姜宏,罗英伟,张强,徐克.腹主联合双髂动脉阻塞的介入方法学评价[J].中国医学影像技术,2005,21(6):956-958. |
| 作者姓名： | 张曦彤 王少雷 杨松 陈春 李大勇 杨孟华 姜宏 罗英伟 张强 徐克 |
| 作者单位： | 1. 中国医科大学附属第一医院放射科,辽宁,沈阳,110001 2. 辽宁省朝阳县人民医院介入科,辽宁,朝阳,122000 3. 吉林省四平市中心医院介入治疗中心,吉林,四平,136000 4. 辽宁中医学院血管外科,辽宁,沈阳,110032 5. 解放军第463医院放射科,辽宁,沈阳,110042 6. 中国医科大学附属第一医院血管外科,辽宁,沈阳,110001 |
| 摘 要： | 目的评价腹主动脉联合双髂动脉阻塞的介入治疗方法.方法对19例腹主-双侧髂动脉狭窄/闭塞患者采用导丝开通、导管局部溶栓、PTA及内支架植入等方法治疗,其中15例行尿激酶50～200万U(平均130万U)溶栓,18例PTA治疗,16例(39支动脉)接受内支架植入.结果除1例主-髂动脉、2例各1支髂动脉及1例双肾动脉未获开通外,余18例腹主动脉、髂动脉和2支肾动脉均成功开通.2例发生远端股、腘动脉栓塞经溶栓获得通畅.1例因髂动脉破裂植入覆膜支架.术后平均住院8.5天.14例症状及体征明显改善,4例部分好转.随访18例(1.5～78个月),1例于1.5个月后1侧髂动脉闭塞,未能开通;1例分别于25和28个月发生主-髂动脉闭塞,行PTA和再次支架植入,其余病例良好.结论多种介入手段结合可有效治疗腹主-双髂动脉狭窄/闭塞. |
| 关 键 词： | 主-髂动脉狭窄 血栓形成 血管成形术 支架 |
| 文章编号： | 1003-3289(2005)06-0956-03 |
| 收稿时间： | 2005/3/25 0:00:00 |
| 修稿时间： | 2005年3月25日 |
Interventional treatment for the occlusive abdominal aorta and bilateral iliac arteries |
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| ZHANG Xi-tong,WANG Shao-lei,YANG Song,CHEN Chun,LI Da-yong,YANG Meng-hu,JIANG Hong,LUO Ying-wei,ZHANG Qiang and XU Ke.Interventional treatment for the occlusive abdominal aorta and bilateral iliac arteries[J].Chinese Journal of Medical Imaging Technology,2005,21(6):956-958. | |
| Authors: | ZHANG Xi-tong WANG Shao-lei YANG Song CHEN Chun LI Da-yong YANG Meng-hu JIANG Hong LUO Ying-wei ZHANG Qiang and XU Ke |
| Institution: | Department of Radiology, the First Affiliated Hospital of China Medical University, Shenyang 110001, China;Department of Radiology,;Department of Radiology, the First Affiliated Hospital of China Medical University, Shenyang 110001, China;Department of Radiology,;Department of Interventional Radiology, People's Hospital of Chaoyang County, Liaoning 122000, China;Interventional Center, Siping Central Hospital, Jilin 136000, China;Department of Vascular Surgery, Liaoning College of TCM, Shenyang 110032, China;Interventional Center, Siping Central Hospital, Jilin 136000, China;Department of Radiology, the 463rd Hospital of PLA, Shenyang 110042, China;Department of Vascular Surgery, the First Affiliated Hospital of China Medical University, Shenyang 110001, China;Department of Vascular Surgery, the First Affiliated Hospital of China Medical University, Shenyang 110001, China;Department of Radiology,;Department of Radiology, the First Affiliated Hospital of China Medical University, Shenyang 110001, China;Department of Radiology, |
| Abstract: | Objective To evaluate the interventional treatments for the occlusive abdominal aorta and bilateral iliac arteries. Methods Nineteen patients with abdominal aorta and bilateral iliac arteries occlusion were treated with guidewire canalization, local thrombolysis, PTA and stent installation.Fiveteen patients accepted local thrombolysis by 500 thousand units-2 million units urokinase (mean 1.3 millon units),18 patients were treated by PTA and 16 cases also accepted stent installation after PTA. Results Successful canalization of aorto-iliac arteries occlusion was obtained in 18 patients, excepting the failure canalization in aorto-iliac arteries (one case), iliac arteries (two cases) and bilateral renal arteries in one patient. Femoral-popliteal artery thrombosis occurred in two cases, but got a good results following local thrombolysis. A covered stent was installed to repair the broken iliac artery after PTA. Fourteen patients recovered totally, and 4 patients partly recovered after intervention. Eighteen patients were followed-up from 1.5 to 78 months. One patient's right iliac artery was found occlusive at 1.5 months, but could not be recanalized. Another patient's aorto-iliac artery recurred occlusion 25th and 28th month after intervention and received PTA and stent re-installation. Conclusion Muti-interventions combined can treat abdominal aorto-iliac artery occlusion effectively. |
| Keywords: | Stenosis aorto-iliac artery Thrombosis Angioplasty Stent |
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