[1]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,(05):387-390.
 WEI Xiao- long,WU Ya- ni,SUN Yu- dong,et al. Endovascular treatment of infrarenal aortoiliac occlusive diseases[J].journal interventional radiology,2016,(05):387-390.
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平肾主动脉-髂动脉闭塞性病变腔内治疗()

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

卷:
期数:
2016年05期
页码:
387-390
栏目:
血管介入
出版日期:
2016-05-25

文章信息/Info

Title:
 Endovascular treatment of infrarenal aortoiliac occlusive diseases
作者:
魏小龙 吴雅妮 孙羽东 朱 江 苏鹏桓 冯 睿 周 建 赵志青 景在平
Author(s):
WEI Xiao- long WU Ya- ni SUN Yu- dong ZHU Jiang SU Peng- huan FENG Rui ZHOU Jian ZHAO Zhi- qing JING Zai- ping
Department of Vascular Surgery, Affiliated Changhai Hospital, Second Military Medical University, Shanghai 200433, China
关键词:
【关键词】 平肾主动脉-髂动脉闭塞 覆膜支架 腔内治疗 置管溶栓
文献标志码:
A
摘要:
【摘要】 目的 探讨腔内治疗平肾主动脉-髂动脉闭塞性病变的效果。方法 回顾性分析2013年1月至2015年6月采用腔内微创治疗和血运重建的21例平肾主动脉-髂动脉闭塞性病变患者,所有患者均在置管溶栓后接受腔内血管重建,术后3、6、9、12个月随访,每年复查主动脉CTA。结果 21例均置管溶栓24 h,完全采用裸支架倒Y型腔内重建11例(植入主动脉裸支架和外周自膨裸支架41枚),覆膜支架对吻成形2例(植入Gore Viabahn支架4枚),Gore Excluder覆膜支架腔内重建8例,技术成功率为100%。围手术期无死亡患者及严重并发症发生,所有患者术后下肢缺血症状均得到缓解。术后随访6~24个月,未见支架移位及内漏发生,裸支架治疗组1例术后8个月髂动脉支架内血栓闭塞,予以药物保守治疗;Gore Excluder覆膜支架组1例术后18个月一侧髂支远端狭窄,予以裸支架成形后通畅;其余移植物随访期通畅。结论 腔内微创治疗平肾主动脉-髂动脉闭塞近、中期效果好,但需个体化选择治疗方案,以提高手术成功率,降低并发症发生率。

参考文献/References:

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备注/Memo

备注/Memo:
(收稿日期:2016-02-27)
(本文编辑:边 佶)
更新日期/Last Update: 2016-05-16