[1]秦永林,邓钢,郭金和,等.长球囊治疗重症下肢动脉缺血性病变的近期疗效观察[J].介入放射学杂志,2008,(05):323.
 QIN Yonglin,DENG Gang,GUO Jinhe,et al.Short term evoluation of the percutaneous transluminal angioplasty with long balloon for the treatment of critical limb ischemia[J].journal interventional radiology,2008,(05):323.
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长球囊治疗重症下肢动脉缺血性病变的近期疗效观察()

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

卷:
期数:
2008年05期
页码:
323
栏目:
血管介入
出版日期:
2008-05-15

文章信息/Info

Title:
Short term evoluation of the percutaneous transluminal angioplasty with long balloon for the treatment of critical limb ischemia
作者:
秦永林邓钢郭金和
210009南京东南大学附属中大医院介入与血管外科
Author(s):
QIN Yong-linDENG GangGUO Jin-heHE Shi-chengFANG WenZHU Guang-yuTENG Gao-jun
Department of Interventional Therapy and Vascular Surgery,Zhongda Hospital,Southeast University,Nanjin210009,China
关键词:
下肢动脉闭塞症下肢缺血支架球囊血管成形术
分类号:
R543.5
文献标志码:
A
摘要:
目的观察长球囊治疗重症下肢动脉缺血性病变的可行性和近期效果。方法对2007年1至6月收治的21例重症下肢缺血患者,根据病变范围,选择合适长度的球囊对狭窄或闭塞性病变进行球囊扩张成形,相临近多处短段病变也尽可能采用长球囊一次成形;观察术中及术后患者的并发症发生率、技术成功率和临床疗效;通过随访,判断治疗的初始通畅率、再次通畅率、救肢率和生存率。结果21例患者早期技术性的并发症2例(9.5%),均为穿刺点假性动脉瘤。狭窄性病变的技术成功率100%;股、动脉闭塞性病变再通的总的成功率为88.9%,其中采用内膜下成形(5例)技术成功4例;胫前动脉、胫后动脉和腓动脉闭塞性病变的技术成功率分别为55.6%、28.6%和25.0%。未出现影响血流的夹层。临床成功率为90.5%。术后平均住院时间6d。术后6个月的初始通畅率为95.2%;再次通畅率和救肢率均为100%。结论对于重症下肢动脉缺血性病变患者,长球囊PTA后无影响血流的夹层瘤出现,初始技术和临床成功率都很高,是安全、有效的治疗重症下肢动脉缺血性病变的方法。

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相似文献/References:

[1]李光超,邓钢,秦永林,等.下肢动脉闭塞性病变的64层CT血管造影与DSA的对照研究[J].介入放射学杂志,2008,(05):336.
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备注/Memo

备注/Memo:
收稿日期:2008-03-01
更新日期/Last Update: 2008-05-15