[1]李绍钦,蒋国民,赵进委,等.DEEP球囊导管在膝下动脉腔内成形术治疗严重下肢缺血中的应用[J].介入放射学杂志,2008,(12):858.
 LI Shaoqin,JIANG Guomin,ZHAO Jinwei,et al.Inferior knee arterial endoluminal angioplasty in treating severe lower limb ischemia though the DEEP balloon catheter[J].journal interventional radiology,2008,(12):858.
点击复制

DEEP球囊导管在膝下动脉腔内成形术治疗严重下肢缺血中的应用()

PDF下载中关闭

分享到:

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

卷:
期数:
2008年12期
页码:
858
栏目:
血管介入
出版日期:
2008-12-15

文章信息/Info

Title:
Inferior knee arterial endoluminal angioplasty in treating severe lower limb ischemia though the DEEP balloon catheter
作者:
李绍钦蒋国民赵进委
213003江苏常州南京医科大学附属常州二院介入科(李绍钦、蒋国民、赵进委、陈亚贤、田丰、王云、黄文华);苏州大学附属第一医院介入科(倪才方)
Author(s):
LI Shao-qinJIANG Guo-minZHAO Jin-weiCHEN Ya-xianTIAN FengWANG YunHUANG Wen-huaNI Cai-fang.
Department of Interventional Radiology,Affiliated Changzhou No.2People ’s Hospital,Nanjing Medical University,Changzhou213003,China
关键词:
下肢动脉硬化性闭塞血管腔内成形术球囊扩张
分类号:
R543.5
文献标志码:
A
摘要:
目的应用DEEP球囊导管膝下动脉成形术治疗严重下肢缺血的疗效分析。方法回顾性分析2007年8月至2008年4月采用膝下动脉成形术治疗11例患者17条严重缺血患肢的结果。所有患者均有静息痛,其中6条患肢合并溃疡(2条)或坏疽(3条)或两者同时存在(1条)。12条患肢踝肱指数(ABI )为0.2~0.5,5条患肢为0.51~0.7,平均0.47。结果手术技术成功率为100%,13条患肢疼痛明显缓解,2条肢体减轻,2条患肢疼痛无缓解而行膝关节以上截肢;有溃疡的2条患肢,溃疡愈合。有足趾坏疽的3条患肢,1条干性坏疽无变化,1条坏疽足趾脱落,1条行半足截除术后,创面愈合,同时伴有溃疡和坏疽的1条患肢,溃疡愈合,坏疽足趾脱落。10条患肢ABI 增加超过0.5,5条增加0.3~0.5,2条无改变,平均值为0.83。10例患者16条患肢得到随访,平均随访时间4.3个月(1~9个月)。15条患肢疼痛明显缓解,其中12条无复发,3条复发,3条中2条再次行下肢动脉PTA后疼痛缓解,1条未行PTA治疗而行截肢。ABI 平均值为0.70。结论应用DEEP球囊导管行膝关节以下动脉成形术治疗严重下肢缺血具有较高的成功率,短期随访有较好疗效,中长期疗效有待进一步观察。

参考文献/References:

[1]Rastogi S,Stavropoulos SW.Infrapopliteal angioplasty[J].Tech Vasc Intervent Radiol,2004,7:33-39.
[2]Tsetis D,Belli AM.The role of infrapoplitealangioplasty[J].Br J Radiol,2004,77:1007-1015.
[3]Dick F,Diehm N,Galimanis A,et al.Surgical or endovascular revascularization in patients with critical limb ischemia:influence of diabetes mellitus on clinical outcome [J].J Vasc Surg,2007,45:751-761.
[4]Cho SK,Do YS,Shin SW,et al.Subintimal angioplasty in thetreatment of chronic lower limb ischemia[J].Korean J Radiol,2006,7:131-138.
[5]Ballard JL,Mills JL Sr.Surgical management of critical limb ischemia[J].Tech Vasc Intervent Radiol,2005,8:169-174.
[6]李茂全,程永德.糖尿病足介入治疗的几个问题[J].介入放射学杂志,2006,15:385-386.
[7]方淳,李明华,程英升,等.糖尿病足截肢前后血管内介入治疗临床分析[J].介入放射学杂志,2006,15:390-392.
[8]Siablis D,Kraniotis P,Karnabatidis D,et al.Sirolimus-eluting versus bare stents for bailout after suboptimal infrapopliteal angioplasty for critical limb ischemia:6-month angiographic results from a nonrandomized prospective singlecenter study[J].J Endovasc Ther,2005,12:685-695.
[9]谷涌泉,张健,俞恒锡,等.膝下动脉腔内成形术治疗严重下肢缺血[J].中华普通外科杂志,2007,22:123-124.
[10]Scheinert D,Ulrich M,Scheinert S,et al.Comparison of sirolimus-eluting vs bare-metal stents for the treatment of infrapopliteal obstructions[J].Eurointervention,2006,2:169-174.
[11]王建波,赵俊功,朱悦琦,等.膝下动脉经皮腔内血管成形术治疗糖尿病下肢缺血[J].介入放射学杂志,2008,5:318-322.
[12]秦永林,邓钢,郭金和,等.长球囊治疗重症下肢动脉缺血性病变的近期疗效观察[J].介入放射学杂志,2008,17:323-327.
[13]Fusaro M,Dalla Paola L,Biondi-Zoccai GG.Retrograde posterior tibial artery access for below-the-knee percutaneous revascu-larization by means of sheathless approach and double wire technique[J].Minerv Cardioangiol,2006,54:773-777.

相似文献/References:

[1]钱钧,姜宏,杨洋,等.髂股静脉陈旧性血栓综合介入治疗[J].介入放射学杂志,2009,(04):262.
 QIAN Jun,JIANG Hong,YANG Yang.Interventional treatment for old thrombus in iliofemoral deep veins[J].journal interventional radiology,2009,(12):262.

备注/Memo

备注/Memo:
收稿日期:2008-06-11
更新日期/Last Update: 2008-12-15