[1]梁刚柱,张福先,魏海亮,等.下肢股腘动脉慢性完全闭塞病变分布及影响因素分析[J].介入放射学杂志,2015,(12):1052-1055.
 LIANG Gang- zhu,ZHANG Fu- xian,WEI Hai- liang,et al.The distribution and related risk factors of femoro- popliteal artery chronic total occlusion lesions[J].journal interventional radiology,2015,(12):1052-1055.
点击复制

下肢股腘动脉慢性完全闭塞病变分布及影响因素分析 ()

PDF下载中关闭

分享到:

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

卷:
期数:
2015年12期
页码:
1052-1055
栏目:
血管介入
出版日期:
2015-12-25

文章信息/Info

Title:
The distribution and related risk factors of femoro- popliteal artery chronic total occlusion lesions
作者:
梁刚柱 张福先 魏海亮 段永利 赵 辉 张明逸 成 龙
Author(s):
LIANG Gang- zhu ZHANG Fu- xian WEI Hai- liang DUAN Yong- li ZHAO Hui ZHANG Ming- yi CHENG Long
Department of Vascular Surgery, Affiliated Beijing Shijitan Hospital, Capital Medical University, Beijing 100038, China
关键词:
【关键词】 股腘动脉 外周动脉 慢性完全闭塞 动脉硬化 血液循环力学
文献标志码:
A
摘要:
【摘要】 目的 探讨下肢股腘动脉慢性完全闭塞(CTO)病变分布特征,分析不同致病危险因素对病变分布的影响。方法 选择2013年1月至2015年5月首都医科大学附属北京世纪坛医院收治的经CTA、DSA检查证实的47例下肢股腘动脉CTO患者,将股动脉均分为3段(F1~F3),将腘动脉按骨性解剖标志分为3段(P1~P3),基于股腘动脉CTA断层扫描、三维重建及DSA图像获取下肢股腘动脉CTO病变解剖分布情况。采集影响病变分布的不同因素,并作多因素Logistic回归分析。结果 共有47例患者59条下肢股腘动脉CTO病变纳入研究。病变段平均长度为(12.91±10.13) cm。根据股腘动脉6段分法,病变累及F1段23肢,F2段34肢,F3段48肢,P1段18肢,P2段6肢,P3段5肢。多因素Logistic回归分析发现,高血压(RR=3.21)、吸烟史(RR=1.76)患者CTO病变最易累及F1段,男性(RR=1.98)患者CTO病变更易发生在P1段,而糖尿病患者病变分布RR值自血管近端至远端逐渐变大,说明病变更易累及远端血管。结论 下肢股腘动脉CTO病变分布具有特征性,与下肢股腘动脉血流动力学及动脉硬化危险因素密切相关。

参考文献/References:

[1] Gandini R, Volpi T, Pipitone V, et al. Intraluminal recanalization of long infrainguinal chronic total occlusions using the Crosser system[J]. J Endovasc Ther, 2009, 16: 23- 27.
[2] Lindbom A. Arteriosclerosis and arterial thrombosis in the lower limb; a roentgenological study[J]. Acta Radiol Suppl, 1950, 80: 1- 80.
[3] Watt JK. Origin of femoro- popliteal regions[J]. Br Med J, 1965, 2: 1455- 1459.
[4] Scholten FG, Warnars GA, Mali WP, et al. Femoropopliteal occlusions and the adductor canal hiatus, Duplex study[J]. Eur J Vasc Surg, 1993, 7: 680- 683.
[5] 郭相江, 张纪蔚. 162 例糖尿病患者下肢动脉病变的特征分析[J]. 介入放射学杂志, 2010, 19: 940- 943.
[6] Levula M, Oksala N, Airla N, et al. Genes involved in systemic and arterial bed dependent atherosclerosis—Tampere Vascular study[J]. PLoS One, 2012, 7: e33787.
[7] 张宏伟, 陈家祥, 王书智, 等. 螺旋CT血管成像在下肢动脉支架植入术后复查中的应用价值[J]. 介入放射学杂志, 2014, 23: 878- 882.
[8] Wensing PJ, Meiss L, Mali WP, et al. Early atherosclerotic lesions spiraling through the femoral artery[J]. Arterioscler Thromb Vasc Biol, 1998, 18: 1554- 1558.
[9] Brown R, Nguyen TD, Spincemaille P, et al. In vivo quantification of femoral- popliteal compression during isometric thigh contraction: Assessment using Mr angiography[J]. J Magn Reson Imaging, 2009, 29: 1116- 1124.
[10] Diehm N, Shang A, Silvestro A, et al. Association of cardiovascular risk factors with pattern of lower limb atherosclerosis in 2 659 patients undergoing angioplasty[J]. Eur J Vasc Endovasc Surg, 2006, 31: 59- 63.
[11] Aboyans V, Criqui MH, Denenberg JO, et al. Risk factors for progression of peripheral arterial disease in large and small vessels[J]. Circulation, 2006, 113: 2623- 2629.
[12] Haltmayer M, Mueller T, Horvath W, et al. Impact of atherosclerotic risk factors on the anatomical distribution of peripheral arterial disease[J]. Int Angiol, 2001, 20: 200- 207.
[13] Lehto S, Niskanen L, Suhonen M, et al. Medial artery calcification. A neglected harbinger of cardiovascular complications in non- insulin- dependent diabetes mellitus. Arterioscler[J]. Arterioscler Thromb Vasc Biol, 1996, 16: 978- 983.

相似文献/References:

[1]吴鉴今,曲乐丰,柏 骏,等. ViabahnTM自膨式覆膜支架腔内修复外周动脉创伤性假性动脉瘤[J].介入放射学杂志,2015,(07):632.
 WU Jian-jin,QU Le-feng,BAI Jun,et al.Endovascular repair of peripheral traumatic pseudoaneurysm with ViabahnTM self-expanding covered stent[J].journal interventional radiology,2015,(12):632.
[2]解旭品,方 欣,黄昌拼,等.紫杉醇药物涂层球囊治疗股腘动脉支架内再狭窄18例 [J].介入放射学杂志,2017,(06):544.
 XIE Xupin,FANG Xin,HUANG Changpin,et al.Drug- coated balloon with paclitaxel for in- stent restenosis of femoral popliteal artery: initial experience in 18 patients[J].journal interventional radiology,2017,(12):544.
[3]贾中芝.股腘动脉狭窄/闭塞性病变腔内介入治疗[J].介入放射学杂志,2018,27(06):598.
 JIA Zhongzhi.Endovascular therapy for stenotic and/or occlusive femoropopliteal artery lesions[J].journal interventional radiology,2018,27(12):598.

备注/Memo

备注/Memo:
(收稿日期:2015-06-24)
(本文编辑:边 佶)
更新日期/Last Update: 2015-12-24