主-髂动脉狭窄/闭塞性病变介入治疗  

Interventional therapy of aortoiliac artery stenosis/occlusion

作　　者：陈帅[1] 范海伦[1] 贺能树[1] 

机构地区：[1]天津医科大学总医院放射科,天津300052

出　　处：《中国医学影像技术》2011年第9期1817-1820,共4页Chinese Journal of Medical Imaging Technology

摘　　要：目的探讨介入治疗对主-髂动脉狭窄/闭塞性病变的价值。方法收集20例主-髂动脉狭窄/闭塞性病变患者,对其中17例行球囊扩张术（PTA）和（或）支架植入术,3例行切开取栓联合PTA、支架植入术,观察其疗效。结果共植入裸支架26枚,覆膜支架1枚。20例患者病变段血管均获得有效开通,技术成功率为100%（20/20）。2例治疗过程中出现并发症,1例为动脉夹层,另1例为动脉破裂。经治疗后患者临床症状均明显改善或消失,围术期无死亡病例。术后随访4~12个月,1例因多发器官衰竭死亡,1例发生再狭窄,其余均未出现症状持续或加重。结论介入治疗是治疗主-髂动脉狭窄/闭塞性病变的有效手段。Objective To investigate the value of interventional therapy in stenosis/occlusion of aortoiliac artery.Methods A total of 20 patients with aortoiliac artery stenosis/occlusion were enrolled in this study.Percutaneous transluminal angioplasty（PTA） and/or stent implantation were performed in 17 cases,while PTA and implantation of stent combined with thrombectomy were performed in 3 cases.The therapeutic effect was analyzed.Results Totally 26 bare stents and 1 stent-graft were implanted.All the abnormal vessels were canalized successfully.Complications occurred in 2 patients during the treatment,including 1 of arterial dissection and 1 of artery rupture.The symptoms of all the patients obviously relieved or even disappeared after intervention.The patients were followed-up for 4—12 months.One patient died because of multiple organ failure.Restenosis occurred in 1 patient.No deterioration was found in the others.Conclusion Interventional therapy is effective in treating aortoiliac artery stenosis/occlusion.

关 键 词：主-髂动脉狭窄/闭塞 治疗 支架 血栓切除术 

分 类 号：R815[医药卫生—放射医学] R543[医药卫生—临床医学]