经肱动脉入路治疗双侧髂动脉硬化闭塞症

目的：探讨经肱动脉入路在双侧髂动脉硬化闭塞症（ASO）中的应用价值。方法：采用经肱动脉入路逆行穿刺的方法,对12例双侧髂段ASO患者共24条下肢行PTA及PTSA。结果：12例患者穿刺成功率100%,23条下肢得到了PTA及PTSA治疗。术后随访2- 24个月,患肢发凉、无力、疼痛麻木等临床症状均有不同程度缓解,患肢皮肤温度增高,行走距离加长,4条下肢足靴部溃疡缩小或者愈合,1条下肢足小趾坏死自行脱落、创面愈合;得到治疗的23条患肢ABI由术前0.29±0.15升至术后0.56±0.17。结论：经肱动脉入路治疗双侧髂动脉ASO是安全、有效的治疗措施,近期疗效确切。

Endovascular treatment of the bilateral iliac atherosclerotic obliterans by brachial artery approach

Objective： To evaluate the effects of endovascular treatment of the bilateral iliac atherosclerotic obliterans（ASO） by brachial artery approach.Methods： To implement percutaneous transluminal angioplasty（PTA）and percutaneous transluminal stent angioplasty（PTSA） in 12 patients（24 limbs）by brachial artery retrograde approach.Results： All 12 patients were succsessful in brachial artery retrograde approach,the technical success rate was 100%.Twenty-three limbs were treated with PTA and PTSA.Follow up after procedure from 2 to 24 months,all patients were varying degrees relieved in coolness,lacking in strength,pain and nambness limbs,skin temperature heighten and walk distance prolong.Four limbs with preoperative foot ulcer were shrinked or healed.One limb with foot gangrene was self-falled off and healed of surface of the wound.The ABI was increased from 0.29±0.15 in preoperation to 0.56±0.17 in postoperation.Conclusions： Endovascular treatment of the bilateral iliac atherosclerotic obliterans is a safe and effective by brachial artery approach,it has exact near-term therapentic efficacy.