[1]叶开创,彭智猷,吴小雨,等.药物涂层球囊血管成形术治疗孤立性腘动脉慢性闭塞的近期效果[J].介入放射学杂志,2021,30(09):874-879.
　YE Kaichuang,PENG Zhiyou,WU Xiaoyu,et al.Short-term outcomes of drug-coated balloon angioplasty for isolated chronic occlusion of popliteal artery[J].journal interventional radiology,2021,30(09):874-879.
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药物涂层球囊血管成形术治疗孤立性腘动脉慢性闭塞的近期效果()

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

卷:
30
期数:
2021年09
页码:
874-879
栏目:
血管介入
出版日期:
2021-09-25

文章信息/Info

Title:
Short-term outcomes of drug-coated balloon angioplasty for isolated chronic occlusion of popliteal artery
作者:
叶开创;  彭智猷;  吴小雨;  张 省;  王 新;  陆信武
Author(s):
YE Kaichuang;  PENG Zhiyou;  WU Xiaoyu;  ZHANG Xing;  WANG Xin;  LU Xinwu.
Department of Vascular Surgery， Affiliated Shanghai Ninth People’s Hospital， School of Medicine， Shanghai Jiao Tong University； Vascular Center of Shanghai Jiao Tong University， Shanghai 200011， China
关键词:
【关键词】 腘动脉闭塞性病变;  药物涂层球囊;  血管腔内治疗
文献标志码:
A
摘要:
【摘要】 目的 评价药物涂层球囊（DCB）血管成形术治疗孤立性腘动脉闭塞性病变的近期临床效果。 方法 回顾性分析2018年1月至2019年6月期间经DCB成形术治疗的孤立性腘动脉慢性闭塞性病变患者临床资料。主要研究终点为靶病变1年初期通畅率，次要研究终点1年二期通畅率、保肢率和临床症状改善等。 结果 共入组31例患者36条患肢（左侧19条），其中男20例；平均年龄72.7岁。14例患者16条患肢表现为重症肢体缺血（Rutherford分级4～6级）。手术技术成功率为83.3%（30/36）。6例患者靶病变需植入补救性支架，支架辅助技术均获成功。无患者发生远端动脉栓塞和腘动脉损伤，无死亡。平均随访7.8个月，有7例腘动脉再闭塞，其中3例系补救性支架植入患者，补救性支架再闭塞率为3/6。术后1年靶病变初期通畅率、二期通畅率分别为73.2%、83.6%，保肢率为86.1%，截肢/趾均发生于Rutherford分级6级患者。患肢平均踝-肱指数（ABI）由术前0.43上升至术后0.76，所有患者临床症状明显缓解。结论 DCB成形术治疗孤立性腘动脉慢性闭塞性病变安全，近期效果满意。补救性支架似并不能显著提高靶病变通畅率。

参考文献/References:

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备注/Memo

备注/Memo:
（收稿日期：2020- 02- 08）
（本文编辑：边 佶）
更新日期/Last Update: 2021-09-13