数字减影血管造影辅助下手术治疗下肢动脉人工血管旁路术后再闭塞12例分析  

Surgical treatment of restenosis on blood vessel prosthesis for the low limb ischemia with digital subtract angiography

作　　者：杨牟[1] 宋富波[1] 张居文[1] 车海杰[1] 孙林[1] 勇俊[1] 李鲁滨[1] 

机构地区：[1]山东烟台市毓璜顶医院血管外科,山东烟台264000

出　　处：《中国实用外科杂志》2010年第2期135-136,共2页Chinese Journal of Practical Surgery

摘　　要：目的总结数字减影血管造影(DSA)辅助下治疗下肢动脉人工血管旁路术后再闭塞的体会,探索合理的治疗方法。方法回顾总结2004年12月至2006年7月烟台市毓璜顶医院血管外科在血管造影辅助下手术治疗下肢动脉人工血管旁路再闭塞12例临床资料,其中单纯人工血管切开取栓4例,人工血管取栓+吻合口成形术8例。结果12例病人手术均获得成功,无手术死亡。12例术后定期随访2年。术后2年随访时人工血管通畅9例,保肢11例。结论DSA辅助手术治疗下肢人工血管旁路术后再闭塞,对提高人工血管术后通畅率和保肢率有重要作用。Objective To explore the optimal strategies by reviewing the experience of DSA-assisted surgical treatment of occluded prosthetic bypass of the ischemic lower-exermity. Methods The clinical data of 12 cases of recurrent ischemic symptom of lower extremity due to prosthetic graft failure admitted from December 2004 to July 2006 in the Department of Vascular Surgery,Yuhuangding Hospital of Yantai City were analyzed retrospectively. All of them were treated under DSA . Thrombectomy was performed in 4 cases. Thrombectomy and anastomotic plasty were performed in 8 cases. Results There was no case died during the perioperative peroid. All the cases were followed up for 2 years regularly. The patency rate of prosthetic graft was 75% （ 9 cases ）, and the limb salvage was 91.7% （ 11 cases ）. Conclusion DSA plays an important role in improving the graft patency and limb salvage by DSA-assisted surgical treatment of occluded prosthetic bypass of the ischemic lower-exermity

关 键 词：人工血管 移植物闭塞 数字减影血管造影 

分 类 号：R6[医药卫生—外科学]