锁骨下动脉闭塞机械再通的方法研究  

Endovascular mechanical recanalization of subclavian artery total occlusion

作　　者：齐立[1] 焦力群[2] 李慎茂[2] 缪中荣[2] 朱凤水[2] 凌锋[2] 

机构地区：[1]桂林医学院附属医院神经内科,541001 [2]首都医科大学宣武医院介入放射诊断治疗科

出　　处：《介入放射学杂志》2010年第2期138-141,共4页Journal of Interventional Radiology

基　　金：国家自然科学基金资助(编号:30500519);北京市重大科技攻关计划资助(编号:D0905002040231;D0905004040131)

摘　　要：目的研究锁骨下动脉闭塞血管内机械再通方法和疗效。方法选择32例症状性锁骨下动脉闭塞患者行血管内机械再通治疗,观察再通率及疗效。结果32例锁骨下动脉闭塞患者中,用不同方法成功完成血管内机械再通后行血管内支架成形术,术后全部患者后循环缺血症状和上肢缺血症状明显改善。结论采用适当方法行机械再通治疗锁骨下动脉闭塞安全、可行。Objective To discuss the skills and effects of several endovascular mechanical techniques for the recanalization of subclavian artery total occlusion.Methods Endovascular mechanical recanalization of subclavian artery total occlusion was performed in 32 patients with symptomatic subclavian artery total occlusion.The re-open rate and the therapeutic results were observed and analyzed.Results Several endovascular mechanical techniques, including percutaneous transluminal angioplasty, were employed in treating 32 patients with subclavian artery total occlusion.After the procedure, the ischemic symptoms of posterior circulation and / or upper extremity were markedly relieved.Conclusion It is safe and feasible using appropriate endovascular mechanical technique for re-canalizing the occluded subclavian artery.

关 键 词：锁骨下动脉 闭塞 血管内再通 支架成形 

分 类 号：R543.5[医药卫生—心血管疾病]