| 金龙,邹英华,高健,杜湘柯.慢性、长段髂动脉闭塞的血管腔内成形治疗[J].中国医学影像技术,2001,17(11):1033~1035 |
| 慢性、长段髂动脉闭塞的血管腔内成形治疗 |
| Treatment of Chronic and Long-segment Iliac Artery Occlusions by Means of Thrombolysis and Angioplasty |
| 投稿时间：2001-07-12 |
| DOI： |
| 中文关键词: 动脉闭塞性疾病 放射学,介入性 髂动脉 |
| 英文关键词:Arterial occlusive disease Radiology, interventional Iliac arteries |
| 基金项目: |
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| 摘要点击次数: 2001 |
| 全文下载次数: 848 |
| 中文摘要: |
| 目的 探讨慢性、长段髂动脉闭塞血管腔内成形治疗的可行性及技术方法。方法 9例慢性髂动脉闭塞患者,病变长度12.3~32.8 cm(平均18.6 cm),血管闭塞时间3 周~26 个月(平均6.8 个月),应用大剂量局部溶栓+内支架成形术(PTAS)治疗。结果 初次治疗的技术成功率为89%,术后8例患者的症状和体征较术前明显改善,踝/臂指数(ABI)由0.31±0.12(0.11~0.54)增至术后14天的0.82±0.18(0.49~1.09)。随访4~15个月,仅1例术后两周发生支架再狭窄,经再次治疗效果满意。结论 血管腔内成形术是治疗慢性、长段髂动脉闭塞的有效方法。 |
| 英文摘要: |
| Objective To evaluate the effectiveness and feasibility of endovasacular treatment of chronic and long-segment iliac occlusions. Methods 9 patients with iliac artery occlusion of 6.8 months (range, 3 weeks to 26 months) duration underwent local high dose thrombolysis and intravasacular stent placement. The mean length of the occlusion was 18.6 cm (range,12.3-32.8cm ). 8 patients were followed for 4 to 15 months (mean, 8.6 months) . Results The primary recanalization rate was 89%(8/9). 8 patients showed significantly clinical improvement and the mean ankle-brachial index (ABI) increased from 0.31±0.12 to 0.85±0.18 within 14 days after treatment. At the latest follow-up examination,8 patients demonstrated clinical benefit. Conclusion Combined thrombolysis and percutaneous transluminal angioplasty and stenting offers a favorable alternative to surgery in the treatment of chronic and long-segment iliac occlusion , especially in those patients who are not candidates for surgery. |
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