经肱动脉穿刺杂交手术治疗髂总动脉起始部闭塞17例分析  

Analysis of 17 cases of initial occlusion of common iliac artery by brachial artery puncture and hybridization

作　　者：付艳忠[1] 苏威强 

机构地区：[1]河南焦作市第二人民医院普外科,焦作454000

出　　处：《河南外科学杂志》2017年第4期9-11,共3页Henan Journal of Surgery

摘　　要：目的探讨经肱动脉穿刺入路治疗髂股动脉长段闭塞的安全性及有效性。方法回顾性分析2013-09—2016-01间经肱动脉穿刺入路手术治疗17例髂总动脉闭塞病的临床及随访资料。观察手术效果、并发症及远期通畅情况。结果 17例髂总动脉闭塞患者手术开通率为94.12%,术后患者的ABI值较术前增加(0.46±0.17)。术后无支架相关急性事件,发生穿刺部位皮下血肿1例,术后2个月因停用抗血小板药物出现支架闭塞1例,术后18个月出现支架处狭窄1例。结论经肱动脉穿刺手术治疗髂股动脉长段闭塞,有较高的安全性和成功率。Objective To investigate the safety and efficacy of the brachial artery puncture approach for long segment of iliofemoral artery occlusion. Methods Seventeen patients treated in Department of General Surgery at The Second People＇s Hospital of Jiaozuo between September 2013 to January 2016 were included in this study. These patients were analyzed for clincal characteristics,therapeutic efficacy,complications,and long-term patency. Results Among 17 cases,repatency rate was 94. 12% and postoperative ABI value was increased by an average of 0. 46 ± 0. 17. There was no stent related acute events after operation,1 case with subcutaneous hematoma at the puncture site. 1 case with the stent occlusion at the 2 months after operation because of the antiplatelet drugs discontinuation,and 1 case with the stent stenosis at the 18 months after operation. Conclusion The brachial artery puncture approach was effective and safe,which also has high success rate for long segment of iliofemoral artery occlusion.

关 键 词：髂股动脉闭塞 杂交手术 肱动脉 

分 类 号：R543.1[医药卫生—心血管疾病]