[1]叶 猛,倪其鸿,陈佳荃,等.双向内膜下技术在锁骨下动脉闭塞血管内治疗中的应用[J].介入放射学杂志,2018,27(01):13-16.
YE Meng,NI Qihong,CHEN Jiaquan,et al.The application of bidirectional subintimal technique in endovascular treatment of subclavian arterial occlusion[J].journal interventional radiology,2018,27(01):13-16.
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双向内膜下技术在锁骨下动脉闭塞血管内治疗中的应用()
《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]
- 卷:
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27
- 期数:
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2018年01期
- 页码:
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13-16
- 栏目:
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血管介入
- 出版日期:
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2018-01-25
文章信息/Info
- Title:
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The application of bidirectional subintimal technique in endovascular treatment of subclavian arterial occlusion
- 作者:
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叶 猛; 倪其鸿; 陈佳荃; 郭湘江; 张 岚
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- Author(s):
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YE Meng; NI Qihong; CHEN Jiaquan; GUO Xiangjiang; ZHANG Lan
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Department of Vascular Surgery, Affiliated Renji Hospital, School of Medicine, Shanghai Jiaotong University, Shanghai 200126, China
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- 关键词:
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【关键词】 锁骨下动脉闭塞; 血管内成形术; 内膜下技术
- 文献标志码:
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A
- 摘要:
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【摘要】 目的 探讨锁骨下动脉闭塞血管内治疗中导丝无法回入真腔时应用双向内膜下技术——顺逆行内膜下动脉成形术(SAFARI)提高治疗成功率的可行性及安全性。方法 回顾性分析2013年8月至2016年6月收治的11例症状性锁骨下动脉闭塞患者临床资料,其中男8例,女3例,平均年龄67(61~74)岁,均于开通闭塞血管失败后通过SAFARI技术重建锁骨下动脉。结果 10例患者通过SAFARI技术实现了锁骨下动脉再通并一期植入支架(平均长度46.4 mm),1例失败,技术成功率为90.9%。术后未发生严重并发症。电话随访6~36个月,未发现支架内再狭窄。结论 SAFARI技术治疗钙化严重、阻塞较长的锁骨下动脉闭塞安全有效,可进一步提高血管内治疗成功率。
参考文献/References:
[1] Shadman R, Criqui MH, Bundens WP, et al. Subclavian artery stenosis: prevalence, risk factors, and association with cardiovascular diseases[J]. J Am Coll Cardiol, 2004, 44: 618- 623.
[2] AbuRahma AF, Robinson PA, Jennings TG. Carotid- subclavian bypass grafting with PTFE grafts for symptomatic subclavian artery stenosis or occlusion: 20- year experience[J]. J Vasc Surg, 2000, 32: 411- 418.
[3] 唐小斌, 陈 忠, 刘 丹, 等. 锁骨下动脉闭塞两种手术方式对比[J]. 中华胸心外科杂志, 2016, 32: 349- 351.
[4] Brountzos EN, Petersen B, Binkert C, et al. Primary stenting of subclavian and innominate artery occlusive disease: a single center’s experience[J]. Cardiovasc Intervent Radiol, 2004, 27:616- 623.
[5] Przewlocki T, Kablak- Ziembicka A, Pieniazek P, et al. Determinants of immediate and long- term results of subclavian and innominate artery angioplasty[J]. Catheter Cardiovasc Interv, 2006, 67: 519- 526.
[6] Wrotniak L, Kab-ak- Ziembicka A, Ros-awiecka A, et al.Resolution of ischemic symptoms after percutaneous angioplasty for a symptomatic subclavian artery stenosis[J]. J Vasc Surg,2016, 64: 684- 691.
[7] Spinosa DJ, Harthun NL, Bissonette EA, et al. Subintimal arterial flossing with antegrade- retrograde intervention (SAFARI) for subintimal recanalization to treat chronic critical limb ischemia[J]. J Vasc Interv Radiol, 2005, 16: 37- 44.
[8] 叶 猛, 施娅雪, 赵意平, 等. 同期双向内膜下血管成形技术治疗慢性下肢动脉全堵病变[J]. 中华外科杂志, 2011, 49: 208- 212.
备注/Memo
- 备注/Memo:
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(收稿日期:2017-04-10)
(本文编辑:边 佶)
更新日期/Last Update:
2018-01-25