[1]周 龙,梁思渊,王 涛,等.肱动脉和股动脉穿刺入路支架成形术治疗单侧髂动脉慢性闭塞的比较研究[J].介入放射学杂志,2021,30(02):127-131.
 ZHOU Long,LIANG Siyuan,WANG Tao,et al.Stenting angioplasty via brachial artery access versus via femoral artery access in treating chronic occlusion of unilateral iliac artery: a comparative study[J].journal interventional radiology,2021,30(02):127-131.
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肱动脉和股动脉穿刺入路支架成形术治疗单侧髂动脉慢性闭塞的比较研究()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
30
期数:
2021年02
页码:
127-131
栏目:
血管介入
出版日期:
2021-02-25

文章信息/Info

Title:
Stenting angioplasty via brachial artery access versus via femoral artery access in treating chronic occlusion of unilateral iliac artery: a comparative study
作者:
周 龙 梁思渊 王 涛 叶开创 陆信武
Author(s):
ZHOU Long LIANG Siyuan WANG Tao YE Kaichuang LU Xinwu.
Department of Vascular Surgery, Taizhou Municipal Hospital, Taizhou, Zhejiang Province 318000, China
关键词:
【关键词】 髂动脉闭塞 肱动脉入路 健侧股动脉入路 并发症 支架成形术
文献标志码:
A
摘要:
【摘要】 目的 比较左侧肱动脉和健侧股动脉穿刺入路腔内支架成形术治疗单侧髂动脉慢性闭塞患者的安全性、可行性和有效性。方法 回顾性分析2013年1月至2017年12月分别采用左侧肱动脉(A组)、健侧股动脉(B组)穿刺入路腔内支架成形术治疗的133例、116例单侧髂动脉慢性闭塞患者围手术期资料和随访结果。分别以围手术期并发症发生率、技术成功率和支架通畅率评估两种穿刺入路手术的安全性、可行性和有效性。结果 A组、B组间性别、患肢、泛大西洋学会联盟(TASC)-Ⅱ分型、Rutherford分级等差异均无统计学意义(P>0.05)。A组总体并发症发生率为22.6%(30/133),显著高于B组(12.1%,14/116)(P=0.03),以穿刺点并发症最为明显,分别为17.3%(23/133)、6.9%(8/116)(P=0.02)。但A、B组间严重并发症(需要进一步干预、住院时间延长、输血、不可逆损伤、死亡等)发生率差异无统计学意义(12.0%对7.8%,P=0.30)。A组初始技术成功率高于B组(88.7%对76.7%,P=0.02),但联合患侧股动脉穿刺逆向开通时分别为97.0%、97.4%(P=1.00)。A、B组间术后2年髂动脉支架一期通畅率分别为87.7%、86.7%,二期通畅率分别为92.1%、96.3%,差异均无统计学意义(P>0.05)。结论 健侧股动脉穿刺入路腔内支架成形术治疗单侧髂动脉慢性闭塞更安全,技术成功率虽较低于左侧肱动脉穿刺入路,但联合患侧股动脉穿刺可显著提高技术成功率。

参考文献/References:

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备注/Memo

备注/Memo:
(收稿日期:2019- 11- 21)
(本文编辑:边 佶)
更新日期/Last Update: 2021-02-22