[1]钱钧,姜宏,杨晓红.内膜下再通术在股腘动脉腔内成形术中的应用[J].介入放射学杂志,2011,(02):103-107.
 QIAN Jun,JIANG Hong,YANG Xiao-hong..The application of subintimal recanalization in percutaneous transluminal angioplasty for chronic long-segment occlusion of femoropopliteal artery[J].journal interventional radiology,2011,(02):103-107.
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内膜下再通术在股腘动脉腔内成形术中的应用()

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

卷:
期数:
2011年02期
页码:
103-107
栏目:
血管介入
出版日期:
2011-03-15

文章信息/Info

Title:
The application of subintimal recanalization in percutaneous transluminal angioplasty for chronic long-segment occlusion of femoropopliteal artery
作者:
钱钧姜宏杨晓红
110042  沈阳 解放军第463医院血管介入中心
Author(s):
QIAN Jun JIANG Hong YANG Xiao-hong.
Interventional Center of Peripheral Vascular disease, No. 463 Hospital of People’s Liberation Army, Shenyang 110042, China
关键词:
动脉硬化 闭塞性 内膜下再通术 股腘动脉 放射学 介入性
分类号:
R543.5
文献标志码:
A
摘要:
目的 探讨内膜下再通技术(SIR)治疗股腘动脉粥样硬化闭塞病变的技术要点和疗效。方法 使用内膜下再通技术治疗患者股腘动脉完全闭塞病变42例。使用超滑导丝穿通闭塞段动脉内膜下腔,通过闭塞段后重新进入流出道真腔。建立闭塞段动脉内膜下通道后,用球囊腔内成形及支架置入以保证管腔通畅。结果 39例患者内膜下再通治疗获得成功,临床症状显著改善。技术成功率92.9%(39/42)。3例技术失败,原因是导丝不能重入流出道真腔。结论 内膜下再通技术治疗长段慢性股腘动脉粥样硬化闭塞病变可行性强,疗效显著、安全性好、技术相对简便。

参考文献/References:

[1] , , 杨晓红, . 导丝成袢技术在慢性长段股腘动脉闭塞病变开通中的应用[J]. 介入放射学杂志, 2009, 18: 893 - 895.
[2]
李京雨, , 徐力扬, . 慢性主-髂动脉闭塞膜下再通治疗的可行性及初步应用[J]. 介入放射学杂志, 2009, 18: 220 - 222.
[3] Sharafuddin MJ, Hoballah JJ, Kresowik TF, et al. Long
-term outcome following stent reconstruction of the aortic bifurcation and the role of geometric determinants[J]. Ann Vasc Surg, 2008, 22: 346 - 357.
[4] Cho JR, Kim JS, Cho YH, et al. Subintimal angioplasty of an aortoiliac occlusion: re
-entry site created using a transseptal needle under intravascular ultrasound guidance[J]. J Endovasc Ther, 2007, 14: 816 - 822.
[5] Spinosa DJ, Leung DA, Matsumoto AH, et al. Percutaneous intentional extraluminal recanalization in patients with chronic critical limb ischemia[J]. Radiology, 2004, 232: 499
- 507.
[6]
蒋米尔, 黄新天, , . 内膜下成形术治疗下肢动脉硬化闭塞症三例报道[J]. 上海第二医科大学学报, 2004, 24: 782 - 787.
[7]
, 刘昌伟, 吴巍巍, . 内膜下技术治疗骼动脉闭塞性疾病[J]. 中国医学科学院学报, 2007, 29: 44 - 46.
[8]
李京雨, , , . 内膜下再通术治疗外周动脉完全闭塞性病变[J]. 中华放射学杂志, 2007, 41: 1379 - 1383.
[9] Kickuth R, Ludwig KC, Do DD, et al. Guidance of interventions in subintimal Rofo recanalization and fenestration of dissection membranes using a novel dual
-lumen intravascular ultrasound catheter[J]. Rofo, 2006, 178: 898 - 905.
[10] Bolia A. Subintimial angioplasty, the way forward[J]. Acta Chir Belg, 2004, 104: 547
- 554.
[11] Glasby MJ, Bolia A. Treatment of chronic mesenteric ischemia by subintimal angioplasty of an occluded superior mesenteric artery[J]. Eur J Vasc Endovasc Surg, 2007, 33: 676
- 678.
[12] Surmely JF, Tsuchikane E, Katoh O, et al. New concept for CTO recanalization using controlled antegrade and retrograde subintimal tracking: the CART technique[J]. J Invasive Cardiol, 2006, 18: 334
- 338.
[13]
陆信武. 内膜下血管成形术并发症的防治及其相关技术[J]. 外科理论与实践, 2009, 14: 271 - 273.
[14] Schillinger M, Sabeti S, Dick P, et al. Sustained benefit at 2 years of primary femoropopliteal stenting compared with balloon angioplasty with optional stenting[J]. Circulation, 2007, 115: 2745
- 2749.
[15]
, 陆信武, 李维敏, . 内膜下血管成形术治疗下肢动脉硬化闭塞症的初步报道[J]. 外科理论与实践, 2005, 1023 - 1026.

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备注/Memo

备注/Memo:
收稿日期:20100719
更新日期/Last Update: 2011-03-15