[1]李京雨,刘涛,徐力扬,等.慢性主－髂动脉闭塞内膜下再通治疗的可行性及初步应用[J].介入放射学杂志,2009,(03):220.
　LI Jingyu,LIU Tao,XU Liyang,et al.Subintimal racanalization for the treatment of chronic aorto－iliac artery occlusion：its feasibility and preliminary results[J].journal interventional radiology,2009,(03):220.
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慢性主－髂动脉闭塞内膜下再通治疗的可行性及初步应用()

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

卷:
期数:
2009年03期
页码:
220
栏目:
临床研究
出版日期:
2009-03-15

文章信息/Info

Title:
Subintimal racanalization for the treatment of chronic aorto－iliac artery occlusion：its feasibility and preliminary results
作者:
李京雨; 刘涛; 徐力扬; 等
１００７００北京北京军区总医院放射诊断科
Author(s):
LI Jing－yu; LIU Tao; XU Li－yang; ZHANG Qiang; LU Jun－liang．
Department of Radiology，Beijing Military District General Hospital，Beijing１００７００，China
关键词:
主－髂动脉; 闭塞; 内膜下再通; 介入治疗
分类号:
R５４３.５；R８１６
文献标志码:
B
摘要:
目的探讨经动脉内膜下途径治疗主－髂动脉闭塞的可行性与治疗方法。方法对１例慢性主髂动脉闭塞患者经右肱动脉穿刺，使用超滑导丝自腹主动脉闭塞端穿入内膜下腔，分别向两侧髂动脉行内膜下再通。右侧导丝顺利重入髂外动脉真腔，左侧使用了双向内膜下再通技术。２支导丝经双侧股动脉穿刺点引出体外。经两侧股动脉用对吻技术行球囊扩张和支架置放（主动脉下端支架１枚，双侧髂动脉支架５枚）。结果主－髂动脉闭塞经内膜下途径成功再通。治疗后主－髂动脉支架内腔形态良好，血流通畅。双下肢缺血症状完全消失，踝臂指数（ABI ）由０．３２上升至０．９６。１０个月随访未见再狭窄表现。结论经动脉内膜下途径治疗主－髂动脉闭塞安全、可行，适用于慢性动脉硬化闭塞病变。

参考文献/References:

［１］徐克，于世平，苏洪英，等．主－髂－股动脉闭塞性病变介入治疗的技术探讨及疗效观察［J］．中华放射学杂志，２００５，３９：３８３－３８７．
［２］Klonaris C，Katsargyris A，Tsekouras N，et al．Primary stenting for aortic lesions：from single stenoses to total aortoiliac occlusions［J］．J Vasc Surg，２００８，４７：３１０－３１７．
［３］Sharafu

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备注/Memo

备注/Memo:
收稿日期：２００８－０９－０１
更新日期/Last Update: 2009-03-15