小口径覆膜支架在周围动脉血管疾病中的应用探讨  

Application Value of Small Covered Stent in Treatment of Peripheral Arterial Disease

作　　者：蒋岚杉[1] 王雪钢[1] 白斗[1] 武少辉 张效杰[1] 李杰[1] 尚建英[1] 曾小红[1] 王红[1] 

机构地区：[1]绵阳市中心医院血管外科,四川绵阳621000

出　　处：《四川医学》2014年第7期825-827,共3页Sichuan Medical Journal

摘　　要：目的：探讨小口径覆膜支架在周围血管疾病的应用价值。方法回顾分析我院2011年12月至2013年3月收治的23例周围血管疾病患者应用小口径腹膜支架的临床资料,全组患者共置入巴德小口径覆膜支架28枚,使用支架直径在6～12mm。结果所有患者中,髂动脉瘤1例,肠系膜上动脉瘤2例,锁骨下假性动脉瘤2例,股总动脉假性动脉瘤3例,锁骨下动脉狭窄3例,髂动脉狭窄闭塞6例,髂动脉及股动脉急性创伤性损伤6例。支架释放技术成功率100%,8例动脉瘤的患者植入覆膜支架后均立即隔绝,无内漏,支架植入动脉远端血流通畅,9例狭窄或闭塞的病变支架植入后,病变血管远端血流通畅,6例创伤患者植入支架后有效隔绝血管破口；所有23例患者中,1例失访,其余的平均随访时间13.6个月。随访22例效果良好,无支架内血栓形成、无移位、无支架内狭窄等并发症。结论小口径覆膜支架用于周围血管疾病有其微创性、快速性、及近期疗效确切,特别是在一些特殊情况下起到了非替代的作用,但是远期疗效有待进一步观察。Objective To investigate the application value of small covered stent in treatment of arterial disease. Methods The clinical data of 23 patients undergoing implantation of small covered stent for artery related disease from December 2011 to March 2013 were retrospectively analyzed. 28 small covered stents were set to all patients, the use of stents in diameter 6 ～ 12mm. Results All cases, iliac artery aneurysm （1 case）, superior mesenteric artery aneurysm（2 cases）, subclavian pseudoaneurysm （2 cases）, femoral artery pseudoaneurysm（3 cases）, subclavian artery stenosis（3 cases）, occlusion of the iliac artery stenosis （6 cases）, iliac artery and femoral artery acute traumatic injury（6 cases）. Stent technical success rate of 100% , 8 cases of aneurysms in patients after stenting were immediately isolated, no endoleaks, distal arterial blood flow, nine cases of stenosis or occlusion of the lesion after stenting, lesion distal blood flow, six cases of trauma patients after stenting effectively isolated from blood vessels break; All 23 patients, one patient was lost, and the rest average follow-up time of 13. 6 months. Followed up 22 cases to good effect, no thrombosis, no shift, no restenosis and other complications. Conclusion Small covered stent for peripheral vascular disease has its minimally invasive, fast, and recent efficacy, especially in some special circumstances played a role in non-substitution, but long-term effect needs further observation.

关 键 词：覆膜支架 介入治疗 周围动脉 

分 类 号：R654.4[医药卫生—外科学]