多点穿刺技术在复杂下肢动脉闭塞性病变腔内治疗中的应用  

The application of multipoint puncturing technique in performing endovascular therapy for complex lower extremity arterial occlusive diseases

作　　者：佟铸[1] 谷涌泉[1] 郭连瑞[1] 李学锋[1] 崔世军[1] 郭建明[1] 武欣[1] 刘梦霞[1] 李建新[1] 汪忠镐[1] 张建[1] 

机构地区：[1]10053首都医科大学宣武医院血管外科首都医科大学血管外科研究所

出　　处：《介入放射学杂志》2014年第7期572-574,共3页Journal of Interventional Radiology

基　　金：“北京市科学技术委员会‘首都临床特色应用研究’专项资助课题”(Z 131107002213041);“北京市科学技术委员会‘首都十大危险疾病科技成果推广’项目”(Z121100005512009)

摘　　要：目的探讨多点穿刺的类型、优势及适应证。方法 2011年10月—2013年10月采用多点穿刺技术对46例复杂下肢动脉闭塞性病变患者进行46例次腔内治疗,分析该组病例的病变分型、多点穿刺优势及经多点穿刺技术行腔内治疗的成功率。结果多点穿刺可分为3种类型,Ⅰ型为相反方向处理同一靶血管,Ⅱ型为直接穿刺靶血管,Ⅲ型为相同方向处理不同靶血管。腔内治疗成功率为80.4%。结论多点穿刺技术有助于提高复杂下肢动脉闭塞性疾病腔内治疗的成功率。充分认识多点穿刺的优势、良好的术前设计、精准的穿刺技术及合适介入器材的应用有助于多点穿刺技术的应用。Objective To discuss the methods, advantages and indications of multipoint puncturing in performing endovascular therapy for complex lower extremity arterial occlusive diseases. Methods During the period from Oct. 2011 to Oct. 2013, a total of 46 patients with complex lower extremity arterial occlusive diseases were treated with endovascular therapy by using multipoint puncturing technique. The puncturing type, the advantages of multipoint puncturing technique and the success rate of this technique were analyzed. Results The multipoint puncturing was divided into three types： type Ⅰ ： puncturing from the opposite direction to deal with the same target vessel; type Ⅱ： direct puncturing of the target vessel; and type Ⅲ：using the same puncturing direction to deal with different target vessels. The success rate of endovascular treatment was 80.4%. Conclusion Multipoint puncturing technique helps improve endovascular treatment success rate for lower extremity arterial occlusive diseases. Full understanding of the advantages of multipoint puncturing technique, perfect preoperative planning, precise puncturing technique and proper interventional equipments are helpful to ensure a successful treatment.

关 键 词：动脉闭塞性疾病 多点穿刺 下肢动脉 腔内治疗 

分 类 号：R543.5[医药卫生—心血管疾病]