[1]李 帅,杨 震,李 敏,等.两点入路腔内修复术在周围动脉完全断裂治疗中的应用[J].介入放射学杂志,2021,30(01):62-65.
 LI Shuai,YANG Zhen,LI Min,et al.Endovascular repair via two-point approach in the treatment of complete rupture of peripheral arteries[J].journal interventional radiology,2021,30(01):62-65.
点击复制

两点入路腔内修复术在周围动脉完全断裂治疗中的应用()

PDF下载中关闭

分享到:

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

卷:
30
期数:
2021年01
页码:
62-65
栏目:
临床研究
出版日期:
2021-01-25

文章信息/Info

Title:
Endovascular repair via two-point approach in the treatment of complete rupture of peripheral arteries
作者:
李 帅 杨 震 李 敏 陈 晨 张希全
Author(s):
LI Shuai YANG Zhen LI Min CHEN Chen ZHANG Xiquan.
Interventional Diagnostic and therapeutic Center, No.960 Hospital of PLA, Jinan, Shandong Province 250012, China
关键词:
【关键词】 周围动脉损伤 血管腔内技术 支架修复 两点入路
文献标志码:
A
摘要:
【摘要】 目的 探讨同时创建两点入路腔内修复术治疗急性周围动脉完全断裂的临床效果。方法 回顾性分析2010年1月至2018年2月解放军第九六〇医院收治的18例急性周围动脉完全断裂患者临床资料。根据手术入路不同,将患者分为常规腔内修复术组(A组,n=10)和改良两点入路腔内修复术组(B组,n=8)。对比两组手术成功率、手术时间、术中出血量、术后住院时间、术后并发症及随访结果。 结果 两组手术均顺利完成。A组、B组手术时间分别为平均(58.5±7.2) min、(33.9±3.9) min(P=0.020),术中出血量分别为平均(216.0±109.2) mL、(110.6±51.0) mL(P=0.011),B组均显著低于A组。两组术后住院时间、术后并发症及随访结果差异,均无统计学意义(P>0.05)。 结论 同时创建两点入路腔内修复术,可进一步缩短腔内技术修复周围动脉完全断裂损伤的时间,并降低术中出血量。

参考文献/References:

[1] Branco BC, Dubose JJ, Zhan LX, et al. Trends and outcomes of endovascular therapy in the management of civilian vascular injuries[J]. J Vasc Surg, 2014, 60: 1297-1307.
[2] 钟 山,张希全,陈 众,等. 两点入路血管支架修复钝性腘动脉损伤[J]. 介入放射学杂志, 2017, 26:309-312.
[3] Carrick MM, Morrison CA, Pham HQ, et al. Modern management of traumatic subclavian artery injuries: a single institution’s experience in the evolution of endovascular repair[J]. Am J Surg, 2010, 199: 28-34.
[4] Johnson CA. Endovascular management of peripheral vascular trauma[J]. Semin Intervent Radiol, 2010, 27: 38- 43.
[5] Gilani R, Tsai PI, Wall MJ, et al. Overcoming challenges of endovascular treatment of complex subclavian and axillary artery injuries in hypotensive patients[J]. J Trauma Acute Care Surg, 2012, 73: 771-773.
[6] Matsagkas M, Kouvelos G, Peroulis M, et al. Endovascular repair of blunt axillo-subclavian arterial injuries as the first line treatment[J]. Injury, 2016, 47: 1051-1056.
[7] Debakey ME, Simeone FA. Battle injuries of the arteries in World War Ⅱ: an analysis of 2,471 cases[J]. Ann Surg,1946,123:534-579.
[8] Baghi I, Herfatkar MR, Shokrgozar L, et al. Assessment of vascular injuries and reconstruction[J]. Trauma Mon, 2015, 20:e30469.
[9] Ganapathy A, Khouqeer AF, Todd SR, et al. Endovascular management for peripheral arterial trauma: the new norm?[J]. Injury, 2017, 48: 1025-1030.
[10] du Toit DF, Lambrechts AV, Stark H, et al. Long-term results of stent graft treatment of subclavian artery injuries: management of choice for stable patients[J]. J Vasc Surg, 2008, 47: 739-743.
[11] 陈根生,刘 伟,姚红响,等. 周围动脉创伤性病变血管内介入治疗的临床应用[J]. 介入放射学杂志, 2007, 16:598-601.

备注/Memo

备注/Memo:
(收稿日期:2019-10- 08)
(本文编辑:边 佶)
更新日期/Last Update: 2021-01-25