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中华介入放射学电子杂志 ›› 2014, Vol. 02 ›› Issue (02) : 33 -36. doi: 10.3877/cma.j.issn.2095-5782.2014.02.009

所属专题: 文献

血管介入

介入腔内治疗在下肢动脉硬化闭塞症的应用
周意明1, 姜蕾2,(), 翟仁友1, 高堃1, 魏宝杰1, 王剑锋1, 黄强1   
  1. 1. 100020 首都医科大学附属北京朝阳医院介入科
    2. 北京医院放射科
  • 收稿日期:2013-12-06 出版日期:2014-05-01
  • 通信作者: 姜蕾

Application of interventional endovascular treatment for lower extremity arteriosclerosis occlusion

Yiming Zhou1, Lei Jiang2,(), Renyou Zhai1, Kun Gao1, Baojie Wei1, Jianfeng Wang1, Qiang Huang1   

  1. 1. Interventional Department of Interventional Radiology, Beijing Chaoyang Hospital, Capital Medical University, Beijing 100020, China
  • Received:2013-12-06 Published:2014-05-01
  • Corresponding author: Lei Jiang
  • About author:
    Corresponding author: Jiang Lei, Email:
引用本文:

周意明, 姜蕾, 翟仁友, 高堃, 魏宝杰, 王剑锋, 黄强. 介入腔内治疗在下肢动脉硬化闭塞症的应用[J]. 中华介入放射学电子杂志, 2014, 02(02): 33-36.

Yiming Zhou, Lei Jiang, Renyou Zhai, Kun Gao, Baojie Wei, Jianfeng Wang, Qiang Huang. Application of interventional endovascular treatment for lower extremity arteriosclerosis occlusion[J]. Chinese Journal of Interventional Radiology(Electronic Edition), 2014, 02(02): 33-36.

目的

探讨下肢动脉硬化闭塞症(LEASO)的介入腔内治疗。

方法

收集37例LEASO患者,共进行40次手术,处理病变血管56支,其中狭窄病变39处(39/56,69.64%),闭塞病变17处(17/56,30.36%),其中髂动脉病变19处(19/56,33.93%),股动脉病变30处(30/56,53.57%),胫动脉病变7处(7/56,12.50%)。

结果

支架植入6处,球囊成形(PTA)9处,PTA+支架植入38处,手术成功率为94.64%(53/56),术后30天内无死亡病例。手术成功病例术后临床症状明显改善或消失,术前踝肱指数(ABI)为0.35±0.05,术后明显升高(0.73±0.14,P<0.01)。

结论

介入腔内治疗LEASO成功率高,安全可靠,可显著改善临床症状。

Objective

To explore interventional endovascular treatment for lower extremity arteriosclerosis occlusion (LEASO).

Methods

A total of 40 interventional operations were applied in 37 patients with LEASO. There were 56 vascular lesions, including 39 sclerotic lesions (39/56, 69.64%) and 17 occlusive lesions (17/56, 30.36%). There were 19 iliac lesions (19/56, 33.93%), 30 femoral lesions (30/56, 53.57%) and 7 tibial lesions (7/56, 12.50%).

Results

Stents were applied in 6 lesions. Percutaneous transluminal angioplasty (PTA) was applied in 9 lesions. PTA combined with stents were applied in 38 lesions. The success rate of operation was 94.64% (53/56 ). No death occurred within 30 days after treatments. The symptoms of lower limb ischemia were palliated or vanished in operation successful patients. Pre-operation ankle brachial index (ABI) was 0.35±0.05, post-operation ABI increased to 0.73±0.14 (P<0.01).

Conclusions

Interventional endovascular treatment has an high success rate, it is safe and effective for LEASO, and can significantly improve clinical symptoms.

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