[1]倪其泓,陈佳佺,吕 磊,等.覆膜支架腔内介入治疗主髂动脉闭塞20例临床效果 [J].介入放射学杂志,2018,27(02):118-121.
NI Qihong,CHEN Jiaquan,Lu Lei,et al.Endovascular therapy with covered stent for aortoiliac occlusive disease: clinical effect in 20 patients[J].journal interventional radiology,2018,27(02):118-121.
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覆膜支架腔内介入治疗主髂动脉闭塞20例临床效果
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《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02期
- 页码:
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118-121
- 栏目:
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血管介入
- 出版日期:
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2018-02-25
文章信息/Info
- Title:
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Endovascular therapy with covered stent for aortoiliac occlusive disease: clinical effect in 20 patients
- 作者:
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倪其泓; 陈佳佺; 吕 磊; 郭相江; 张 岚; 叶 猛
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- Author(s):
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NI Qihong; CHEN Jiaquan; Lu Lei; GUO Xiangjiang; ZHANG Lan; YE Meng
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Department of Vascular Surgery, Affiliated Renji Hospital, School of Medicine, Shanghai Jiaotong University, Shanghai 200127, China
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- 关键词:
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【关键词】 覆膜支架植入; 腔内介入治疗; 主髂动脉闭塞
- 文献标志码:
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A
- 摘要:
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【摘要】 目的 探讨覆膜支架腔内介入治疗主髂动脉闭塞的临床疗效。方法 收集2014年1月至2016年12月采用覆膜支架腔内介入治疗的20例主髂动脉闭塞患者临床资料。根据Rutherford临床症状分级,Ⅲ级9例,Ⅳ级7例,Ⅴ级4例;根据泛大西洋学会联盟(TASC)治疗指南Ⅱ分型,B型4例,C型7例,D型9例。分析术后一期、二期通畅率及临床疗效。结果 20例患者均成功完成腔内介入治疗。术后患者症状均明显改善,2例出现并发症(10%),其中1例支架植入后发生远端栓塞,经溶栓治疗好转,另1例穿刺部位血肿,经保守治疗好转,无围手术期死亡。随访5~37个月,平均(17±10)个月,一期通畅率为95%(19/20),二期通畅率为100%(20/20)。结论 覆膜支架腔内介入治疗主髂动脉闭塞具有良好临床效果。
参考文献/References:
[1] Norgren L, Hiatt WR, Dormandy JA, et al. Inter- society consensus for the management of peripheral arterial disease (TASC Ⅱ)[J]. Eur J Vasc Endovasc Surg, 2007, 33(Suppl 1): S1- S75.
[2] 袁 海, 金 星, 张十一, 等. TASC C型和D型主髂动脉闭塞的腔内治疗及评价[J]. 中华普通外科杂志, 2008, 23: 963- 965.
[3] 赵克强, 张小明, 郭清旭, 等. TASC Ⅱ- C、D型主髂动脉闭塞的介入治疗[J]. 中华临床医师杂志·电子版, 2013, 7: 152- 153.
[4] Mwipatayi BP, Sharma S, Daneshmand A, et al. Durability of the balloon- expandable covered versus bare- metal stents in the Covered versus Balloon Expandable Stent Trial(COBEST) for the treatment of aortoiliac occlusive disease[J]. J Vasc Surg,2016, 64: 83- 94.
[5] Ichihashi S, Higashiura W, Itoh H, et al. Long- term outcomes for systematic primary stent placement in complex iliac artery occlusive disease classified according to Trans- Atlantic Inter- Society Consensus(TASC)-Ⅱ[J]. J Vasc Surg, 2011, 53: 992- 999.
[6] de Donato G, Bosiers M, Setacci F, et al. 24- month data from the BRAVISSIMO: a large- scale prospective registry on iliac stenting for TASC A & B and TASC C & D lesions[J]. Ann Vasc Surg, 2015, 29: 738- 750.
[7] 赵俊来, 李 伟, 张小明, 等. 主髂动脉闭塞的覆膜支架介入治疗[J]. 中华普通外科杂志, 2013, 28: 507- 510.
[8] Psacharopulo D, Ferrero E, Ferri M, et al. Increasing efficacy of endovascular recanalization with covered stent graft for TransAtlantic Inter- Society Consensus Ⅱ D aortoiliac complex occlusion[J]. J Vasc Surg, 2015, 62: 1219- 1226.
[9] 魏小龙, 吴雅妮, 孙羽东, 等. 平肾主动脉-髂动脉闭塞性病变腔内治疗[J]. 介入放射学杂志, 2016, 25: 387- 390.
备注/Memo
- 备注/Memo:
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(收稿日期:2017-06-09)
(本文编辑:边 佶)
更新日期/Last Update:
2018-02-24