锁骨下动脉闭塞或重度狭窄血管内治疗疗效及安全性分析  

Efficacy and Safety Analysis of Endovascular Treatment for Subclavian Artery Occlusion or Severe Stenosis

作　　者：李远志 段传志[2] 李西锋[2] 

机构地区：[1]衡阳市中心医院神经外科,湖南省衡阳市421001 [2]南方医科大学附属珠江医院神经外科,广东省广州市510282

出　　处：《中国动脉硬化杂志》2014年第12期1263-1267,共5页Chinese Journal of Arteriosclerosis

摘　　要：目的研究症状性锁骨下动脉闭塞或重度狭窄血管内治疗的疗效和安全性。方法选择31例症状性锁骨下动脉闭塞或重度狭窄的患者行血管内自膨式支架成形术,分析其疗效及安全性。结果 31例症状性锁骨下动脉闭塞或重度狭窄患者中,均用自膨式支架成功完成血管内支架成形术,术后锁骨下动脉狭窄率明显改善、锁骨下动脉盗血综合征和上肢缺血症状明显改善,无并发症出现。结论采用自膨式支架治疗症状性锁骨下动脉闭塞或重度狭窄是一种微创、安全、有效的治疗方法。Aim To study the efficacy and safety of endovascular treatment for symptomatic subclavian artery oc- clusion or severe stenosis. Methods Endovascular treatment of symptomatic subclavian artery occlusion or severe steno- sis was performed in 31 patients with the self-expanding stents. The efficacy and safety was analyzed. Results The self-expanding stents were technically successful in 31 patients with symptomatic subclavian artery occlusion or severe steno- sis. Postoperative subclavian artery stenosis rate obviously improved, the subclavian artery steal blood syndrome and upper limb ischemia symptoms improved significantly, no complications appeared. Conclusion The self-expanding stent is minimally invasive and safe and effective in the treatment of symptomatic subclavian artery occlusion or severe stenosis.

关 键 词：锁骨下动脉 血管闭塞 血管重度狭窄 血管内成形术 自膨式支架 

分 类 号：R6[医药卫生—外科学]