贯穿导丝技术在复杂锁骨下动脉病变治疗中的应用  

Application of run-through wire stretch technique in the procedure of endovascular therapy for complex subclavian artery occlusive diseases

作　　者：武欣[1] 李学锋[1] 焦强[1] 王清霖[1] 曹娟[1] 

机构地区：[1]中国中医科学院望京医院血管外科,北京市100102

出　　处：《实用医学杂志》2017年第1期80-82,共3页The Journal of Practical Medicine

基　　金：国家自然科学基金项目(编号:81470587)

摘　　要：目的:探讨贯穿导丝技术在复杂锁骨下动脉闭塞介入治疗中的应用。方法:回顾性分析我院2013年1月至2016年1月,22例临床诊断锁骨下动脉闭塞的患者介入治疗,使用贯穿导丝技术,成功的进行了锁骨下动脉闭塞的开通及支架治疗。结果:复杂锁骨下动脉闭塞性病变主要是指分为左侧锁骨下动脉长段闭塞和右侧锁骨下动脉开口处狭窄或闭塞。本组患者22例,其中累计左锁骨下动脉长段闭塞的16例,累计右侧锁骨下动脉开口处狭窄或闭塞的6例,均采取介入手术治疗,手术成功率100%。患者均选用股动脉和肱动脉联合入路,贯穿导丝技术,提高了手术成功率。术后患者症状改善率为88%。术后全部患者后循环缺血症状和上肢缺血症状明显改善。结论:股动脉和肱动脉联合入路,贯穿导丝技术能够提高复杂锁骨下动脉闭塞的开通率。Objective To discuss the application of run-through wire stretch technique in the procedure of endovascular therapy for complex subclavian artery occlusive diseases. Methods The clinical data of 22 patients who were diagnosed complex subclavian artery occlusive diseases were retrospectively analyzed from June 2013 to January 2016 in vascular surgery department of Wangjing Hospital .The patients were treated endovascular therapy using run-through wire stretch technique in all procedures successfully. Results The complex subclavian artery occlusive diseases were including long segment occlusion of the left subclavian artery and ostial stenosis or occlusion of the right subclavian artery. The left subclavian artery occlusion patients was 16 and right subclavian artery ostial stenosis or occlusion was 6. The technical success rate was 100%. All patients were using combination of femoral artery and brachial artery approach. Run-through wire stretch technique was used in the procedure of endovascular therapy, which had improved the technical success rate. After the treatment the symptom improvement rate was 88%. The symptoms of upper limb and posterior circulation ischemia were improved. Conlusion Upper limb artery combined femoral artery approachand run- through wire stretch technique can improve the recanalization in the procedure of endovascular therapy for complex subclavian artery occlusive diseases.

关 键 词：锁骨下动脉 闭塞 腔内治疗 支架成形 

分 类 号：R654.4[医药卫生—外科学]