| 头臂干动脉狭窄的经皮经腔球囊导管成形术治疗 |
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| 引用本文： | 刘凡,贺能树,张长林,杨建国,吕提文,崔振玉,王佩显,石嘉玲,万征,周金台.头臂干动脉狭窄的经皮经腔球囊导管成形术治疗[J].天津医药,1991(10). |
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| 作者姓名： | 刘凡 贺能树 张长林 杨建国 吕提文 崔振玉 王佩显 石嘉玲 万征 周金台 |
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| 作者单位： | 天津医学院附属医院放射科，天津医学院附属医院放射科，天津医学院附属医院放射科，天津医学院附属医院放射科，天津医学院附属医院放射科，天津医学院附属医院放射科，天津医学院附属医院心内科，天津医学院附属医院心内科，天津医学院附属医院心内科，天津医学院附属医院心内科 鞍山市长旬医院放射科 |
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| 摘 要： | 本文报告10例12支头臂于动脉狭窄 PTA 结果。锁骨下动脉9支,右无名动脉3支。经球囊导管扩张以后,7支狭窄解除和基本解除,3支改善,其中2支锁骨下动脉窃血消失。狭窄度由87.1%增宽至33.6%,患臂血压由平均12.7/8.5kPa (95.4/64mmHg)升高为17.9/10.6kPa (134.4/80mmHg)。随访4～17个月,1例狭窄复发。全部无并发症。对脑栓塞并发症、适应症、禁忌症等进行了讨论。
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| 关 键 词： | 头臂干动脉 经皮经腔球囊导管成形术 PTA |
Percutaneous Transluminal Balloon Catheter Angioplasty in Brachiocephalic Arterial Stenosis |
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| Liu Fan,et al Tianjin Medical College Hospital.Percutaneous Transluminal Balloon Catheter Angioplasty in Brachiocephalic Arterial Stenosis[J].Tianjin Medical Journal,1991(10). |
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| Authors: | Liu Fan Tianjin Medical College Hospital |
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| Abstract: | Ten cases with 12 stenotic lesions of brachiocephalic arteries were treated bypercutaneous transluminal angioplasty(PTA)using Gruntzig balloon catheter.Dia-gnostic angiography demonstrated stenotic lesions of nine subclavian arteries andthree innominate arteries.After dilatation,seven stenotic lesions showed markedimprovement or disappearance,three lesions improved and subclavian steal blood phe-nomena in two cases disappeared.On pre-postangioplasty series,stenotic degrees ofarterial caliber diminished markedly from 87.1% to 33.6%.The blood pressure wasincreased averaging from 12.7/8.5kPa(95.4/64mmHg)to 17,9/10.6kPa(134.4/80mmHg).Follow-up for 4-17months(average 9 months),all successfully treated patients were stillasymptomaticbut one case in that restenosis was found after 8 months.None had com-plications.The brain(?) embolization,indications and contraindications were discussed. |
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| Keywords: | brachiocephalie arteries percutaneous transluminal balloon catheter angioplasty PTA |
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