VIABAHN支架治疗下肢动脉闭塞的效果分析  

Effects of VIABAHN-Covered Stent and Bypass in Treatment of Lower Limb Arteriosclerosis Occlusion

作　　者：宋庆宏[1] 李阳春[1] 赵奇[1] 栗力[1] 

机构地区：[1]天津市人民医院血管病治疗中心,300121

出　　处：《天津医药》2014年第8期825-827,共3页Tianjin Medical Journal

摘　　要：目的探讨VIABAHN覆膜支架对下肢动脉硬化闭塞症的中短期疗效。方法 53例下肢动脉硬化闭塞症患者,其中22例行VIABAHN覆膜支架治疗(支架组),31例行传统股-腘搭桥手术(搭桥组),分析2组术后3、6个月的通畅率。结果搭桥组术后3、6个月通畅分别为28例(90.3%)、26例(83.9%)。支架组术后3、6个月通畅分别为22例(100%)、21例(95.5%)。2组术后3、6个月通畅率差异无统计学意义(χ2分别为0.808和0.760,P>0.05)。结论 VIABAHN覆膜支架可作为近关节下肢动脉硬化闭塞症的首选治疗方法。Objective To evaluate short and medium term therapeutic effects of VIABAHN-covered stent in treat- ment of arteriosclerosis obliterans in lower extremity. Methods Among all 53 cases of arteriosclerosis obliterans in lower extremity with C/D TASC levels, 22 patients underwent VIABAHN-covered stent （stent group）, while the other 31 patients were treated with femoral-popliteal artery bypass grafting surgery （graft group）. The arterial patency rates were analyzed 3 and 6 months after the two different surgeries. Results The number of arterial pateney cases were 28 （90.3%） at 3 months and 26 （83.9%） at 6 months in stent group while it is 22 （100%） at 3 months and 21 （95.5%） at 6 months in graft group. There were no significant differences in the arterial patency rate at 3 months and 6 months between the two different surger- ies （χ2 is 0.808 and 0.760 respectively, P 〉 0.05）. Conclusion VIABAHN-covered stent can be used as the preferred treat- ment for arteriosclerosis obliterans of lower extremity.

关 键 词：动脉硬化 闭塞性 下肢 VIABAHN覆膜支架 血管腔内成形术 膨体聚四氟乙烯 

分 类 号：R654.4[医药卫生—外科学]