经皮介入碎栓、溶栓加血管内支架植入术治疗外周动脉阻塞  

Percutaneous Interventional Fragmentation,Thrombolysis and Endovascular Stent Implantation for Peripheral Artery Obstruction

作　　者：王秀春[1] 范东霞[1] 孙业全[1] 曹贵文[1] 宁厚法[1] 王雪芹[1] 杜伟[1] 

机构地区：[1]潍坊医学院附属医院影像中心介入科,山东潍坊261031

出　　处：《潍坊医学院学报》2006年第5期335-336,F0004,共3页Acta Academiae Medicinae Weifang

摘　　要：目的探讨经皮介入碎栓、溶栓加血管内支架植入术治疗外周动脉阻塞的疗效。方法经血管造影确诊并行介入治疗34例外周动脉栓塞患者。采用普通造影导管及导丝行碎栓,局部灌注尿激酶溶栓,仍有血管狭窄严重者行血管内支架植入术。结果34例患者中33例血管再通,仅有1例出现再闭塞,所有患者均获显著临床症状改善,技术成功率达97%.结论经皮介入碎栓、溶栓加血管内支架植入术治疗外周动脉阻塞是安全有效的,可显著改善临床症状。Objective To study the elinical effects of interventional fragmentation, thrombolysis and endovascular sent implantation in patients with peripheral artery obstruction. Methods All 34 patients who deploy intcrventional therapy after gaining the final diagnosis by vasography, catheter and guide wire used in ordinary visualization to broke thrombus and dissolve the thrombus with urokinase （UK） regional perfusion. Finally, if the artery was found to be narrow seriously, the endovascular slent was implanted. Results There are 33 patients revascularizaled and only 1 re-obliterated in 34 patients. All of them had hetter clinical symptom, the achievement ratio of the technique was 97%. Conclusion The treatment of peripheral artery obstruction by hroking thrombus and thrombolysis per cutem intervention and endovascular stent implantation is safety and effective,which also can improve the clinical symptom significantly.

关 键 词：动脉闭塞 介入放射学 支架 碎栓 机械性 溶栓 

分 类 号：R815[医药卫生—放射医学]