[1]刘 洪,王学虎,李凤贺,等.导管接触溶栓在下肢动脉硬化闭塞慢性缺血治疗中的应用[J].介入放射学杂志,2019,28(11):1032-1035.
 LIU Hong,WANG Xuehu,LI Fenghe,et al.Application of catheter- directed thrombolysis in the treatment of lower extremity arteriosclerosis obliterans with chronic ischemia[J].journal interventional radiology,2019,28(11):1032-1035.
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导管接触溶栓在下肢动脉硬化闭塞慢性缺血治疗中的应用()

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

卷:
28
期数:
2019年11期
页码:
1032-1035
栏目:
血管介入
出版日期:
2019-11-25

文章信息/Info

Title:
Application of catheter- directed thrombolysis in the treatment of lower extremity arteriosclerosis obliterans with chronic ischemia
作者:
刘 洪 王学虎 李凤贺 赵 渝
Author(s):
LIU Hong WANG Xuehu LI Fenghe ZHAO Yu.
Department of Vascular Surgery, First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China
关键词:
【关键词】 导管接触溶栓下肢动脉硬化闭塞症慢性缺血血管内成形术
文献标志码:
A
摘要:
【摘要】 目的 评价导管接触溶栓(CDT)治疗下肢动脉硬化闭塞症(ASO)慢性缺血的有效性和安全性。 方法 回顾性分析2015年1月至2018年11月采用CDT辅助血管成形术治疗189例下肢ASO慢性缺血患者临床资料,评价溶栓有效率、并发症等。 结果 189例患者均成功实施CDT治疗,溶栓有效率为88.4%(167/189)。动脉闭塞病变平均长度由术前(173±24) mm 缩短为术后(81±16) mm(P<0.01)。153例患者病变血管泛大西洋学会联盟(TASC)Ⅱ分型较术前改善。CDT后进一步完成血管成形术,踝-肱指数(ABI)由术前0.31±0.12显著升高至术后0.82±0.21(P<0.01)。CDT期间总并发症发生率为28.6%(54/189),无颅内出血等严重并发症发生。 结论   下肢ASO慢性缺血患者CDT辅助治疗可提高血管成形术效率,具有较高的有效性和安全性。

参考文献/References:

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[7] 李孝成,潘光栋,肖运平, 等. 导管溶栓治疗急性下肢缺血30例[J]. 介入放射学杂志, 2014, 23: 250- 252.
[8] 刘玉金, 张孝军, 宋伟祥, 等. 尿激酶经导管接触溶栓治疗急性肢体缺血初步临床应用[J]. 介入放射学杂志, 2018, 27:262- 265.
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备注/Memo

备注/Memo:
(收稿日期:2018- 12- 27)
(本文编辑:边 佶)
更新日期/Last Update: 2019-11-18