[1]何 旭,顾建平,楼文胜,等.Ｘ线导向下逆行腘动脉穿刺植入支架治疗股浅动脉闭塞症九例[J].介入放射学杂志,2011,(10):778.
　HE Xu,GU Jian-ping,LOU Wen-sheng,et al.Under X-ray guidance stent implantation through retrograde popliteal artery puncturing for the treatment of superficial femoral artery occlusion: the initial results in nine cases[J].journal interventional radiology,2011,(10):778.
点击复制

Ｘ线导向下逆行腘动脉穿刺植入支架治疗股浅动脉闭塞症九例()

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:
2011年10期
页码:
778
栏目:
血管介入
出版日期:
2011-10-25

文章信息/Info

Title:
Under X-ray guidance stent implantation through retrograde popliteal artery puncturing for the treatment of superficial femoral artery occlusion: the initial results in nine cases
作者:
何 旭;  顾建平;  楼文胜;  陈 亮;  陈国平;  苏浩波;  宋进华;  汪 涛;  徐 克
210006 南京医科大学附属南京第一医院介入科；中国医科大学附属第一医院放射科
Author(s):
HE Xu;  GU Jian-ping;  LOU Wen-sheng;  CHEN Liang;  CHEN Guo-ping;  SU Hao-bo;  SONG Jin-hua;  WANG Tao;  XU Ke

Department of Interventional Radiology, Affiliated Nanjing First Hospital, Nanjing Medical University, Nanjing 210006, China

关键词:
动脉闭塞性疾病;  逆行腘动脉穿刺;  介入治疗;  Ｘ线导向
分类号:
Ｒ５４３.５
文献标志码:
A
摘要:
目的 探讨Ｘ线导向下逆行腘动脉穿刺在股浅动脉闭塞介入治疗中的应用价值。方法 对９例股浅动脉长段闭塞患者采用经股动脉入路顺行开通受阻，改用Ｘ线导向下逆行腘动脉穿刺技术成功建立通路后，对闭塞段行球囊扩张及支架植入治疗。结果 ９例患者腘动脉穿刺技术均获成功，闭塞段股动脉均获开通，间歇性跛行症状消失，未出现相邻神经、血管损伤等严重并发症。踝肱指数由术前０．３８ ± ０．１３升至术后０．９２ ± ０．１１，差异有统计学意义（Ｐ ＜ ０．０１）。随访２ ～ １６ 个月，１ 例患者于术后１１个月间歇性跛行复发， ＣＴＡ示股动脉支架下端狭窄，再次行经皮腔内血管成形术后好转。结论 Ｘ线导向下经腘动脉入路治疗股浅动脉闭塞成功率高、安全性好，在股动脉顺行开通受阻时，是有效的治疗下肢动脉硬化闭塞的选择途径。

参考文献/References:

[1] 徐 克. 管腔内支架治疗学[M]. 北京: 科学出版社, 2004: 297.
[2] 赵明东, 李 滨, 孙殿敬, 等. 腘动静脉介入应用解剖学研究及临床意义[J]. 滨州医学院学报, 2000, 23: 450 - 452.
[3] 张希全, 张 清, 刘 静, 等. 腘动脉穿刺逆行内膜下血管成形术治疗股浅动脉起始部长段硬化性闭塞疾病[J]. 医学影像学杂志, 2010, 20: 247 - 250.
[4] Yilmaz S, Altinbas H, Senol U, et al. Common peroneal nerve palsy after retrograde popliteal artery puncture[J]. Eur J Vasc Endovasc Surg, 2002, 23: 467 - 469.
[5] Noory E, Rastan A, Sixt S, et al. Arterial puncture closure using a clip device after transpopliteal retrograde approach for recanalization of the superficial femoral artery[J]. J Endovasc Ther, 2008, 15: 310 - 314.
[6] Adusumilli S, Mah J, Richardson A. Acute leg ischemia secondary to embolization of an Angio-Seal device[J]. Diagn Interv Radiol, 2011, 17: 98 - 100.
[7] Islam MA, George AK, Norris M. Popliteal artery embolization with the Mynx closure device[J]. Catheter Cardiovasc Interv, 2010, 75: 35 - 37.

相似文献/References:

[1]张希全,凌宝存,朱伟,等.周围动脉硬化闭塞性疾病腔内支架治疗[J].介入放射学杂志,2009,(07):538.
　ZHANG Xiquan,LING Baocun,ZHU Wei,et al.Endovascular stenting treatment for peripheral arteriosclerosis obliterans[J].journal interventional radiology,2009,(10):538.
[2]周玉斌,吴丹明.股浅动脉长段闭塞的治疗选择[J].介入放射学杂志,2010,(10):831.
　ZHOU Yu-bin,WU Dan-ming..Long-segment occlusion of superficial femoral artery: the selection of therapeutic methods[J].journal interventional radiology,2010,(10):831.
[3]吴丹明,周玉斌.主髂动脉长段闭塞腔内治疗的技巧和疗效[J].介入放射学杂志,2010,(12):1004.
　WU Dan-ming,ZHOU Yu-bin..Endovascular treatment for long-segment aortoiliac arterial occlusion: its technical skill and therapeutic effect[J].journal interventional radiology,2010,(10):1004.
[4]隋守光,孙 鹏,王世礼,等.介入治疗髂、股动脉粥样硬化性闭塞的疗效观察[J].介入放射学杂志,2011,(08):648.
　SUI Shou-guang,SUN Peng,WANG Shi-li,et al.Interventional management of iliofemoral arteriosclerosis obliterans: an observation of results[J].journal interventional radiology,2011,(10):648.
[5]佟 铸,谷涌泉,郭连瑞,等.多点穿刺技术在复杂下肢动脉闭塞性病变腔内治疗中的应用[J].介入放射学杂志,2014,(07):572.
　TONG Zhu,GU Yong- quan,GUO Lian- rui,et al.The application of multipoint puncturing technique in performing endovascular therapy for complex lower extremity arterial occlusive diseases[J].journal interventional radiology,2014,(10):572.

备注/Memo

备注/Memo:
收稿日期：２０１１０７２２
更新日期/Last Update: 2011-10-25