| 陈帅,范海伦,贺能树.主-髂动脉狭窄/闭塞性病变介入治疗[J].中国医学影像技术,2011,27(9):1817~1820 |
| 主-髂动脉狭窄/闭塞性病变介入治疗 |
| Interventional therapy of aortoiliac artery stenosis/occlusion |
| 投稿时间：2011-02-27 修订日期：2011-05-03 |
| DOI： |
| 中文关键词: 主-髂动脉狭窄/闭塞 治疗 支架 血栓切除术 |
| 英文关键词:Aortoiliac artery stenosis/occlusive Therapy Stent Thrombectomy |
| 基金项目: |
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| 中文摘要: |
| 目的 探讨介入治疗对主-髂动脉狭窄/闭塞性病变的价值。 方法 收集20例主-髂动脉狭窄/闭塞性病变患者,对其中17例行球囊扩张术(PTA)和(或)支架植入术,3例行切开取栓联合PTA、支架植入术,观察其疗效。 结果 共植入裸支架26枚,覆膜支架1枚。20例患者病变段血管均获得有效开通,技术成功率为100%(20/20)。2例治疗过程中出现并发症,1例为动脉夹层,另1例为动脉破裂。经治疗后患者临床症状均明显改善或消失,围术期无死亡病例。术后随访4~12个月,1例因多发器官衰竭死亡,1例发生再狭窄,其余均未出现症状持续或加重。 结论 介入治疗是治疗主-髂动脉狭窄/闭塞性病变的有效手段。 |
| 英文摘要: |
| Objective To investigate the value of interventional therapy in stenosis/occlusion of aortoiliac artery. Methods A total of 20 patients with aortoiliac artery stenosis/occlusion were enrolled in this study. Percutaneous transluminal angioplasty (PTA) and/or stent implantation were performed in 17 cases, while PTA and implantation of stent combined with thrombectomy were performed in 3 cases. The therapeutic effect was analyzed. Results Totally 26 bare stents and 1 stent-graft were implanted. All the abnormal vessels were canalized successfully. Complications occurred in 2 patients during the treatment, including 1 of arterial dissection and 1 of artery rupture. The symptoms of all the patients obviously relieved or even disappeared after intervention. The patients were followed-up for 4—12 months. One patient died because of multiple organ failure. Restenosis occurred in 1 patient. No deterioration was found in the others. Conclusion Interventional therapy is effective in treating aortoiliac artery stenosis/occlusion. |
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