头臂干动脉狭窄的经皮经腔球囊导管成形术治疗  

Percutaneous Transluminal Balloon Catheter Angioplasty in Brachiocephalic Arterial Stenosis

作　　者：刘凡[1] 贺能树[1] 张长林[1] 杨建国[1] 吕提文[1] 崔振玉 王佩显[2] 石嘉玲[2] 万征[2] 周金台[2] 

机构地区：[1]天津医学院附属医院放射科 [2]天津医学院附属医院心内科

出　　处：《天津医药》1991年第10期595-598,F003,共5页Tianjin Medical Journal

摘　　要：本文报告10例12支头臂于动脉狭窄 PTA 结果。锁骨下动脉9支,右无名动脉3支。经球囊导管扩张以后,7支狭窄解除和基本解除,3支改善,其中2支锁骨下动脉窃血消失。狭窄度由87.1%增宽至33.6%,患臂血压由平均12.7/8.5kPa (95.4/64mmHg)升高为17.9/10.6kPa (134.4/80mmHg)。随访4～17个月,1例狭窄复发。全部无并发症。对脑栓塞并发症、适应症、禁忌症等进行了讨论。Ten cases with 12 stenotic lesions of brachiocephalic arteries were treated bypercutaneous transluminal angioplasty(PTA)using Gruntzig balloon catheter.Dia-gnostic angiography demonstrated stenotic lesions of nine subclavian arteries andthree innominate arteries.After dilatation,seven stenotic lesions showed markedimprovement or disappearance,three lesions improved and subclavian steal blood phe-nomena in two cases disappeared.On pre-postangioplasty series,stenotic degrees ofarterial caliber diminished markedly from 87.1% to 33.6%.The blood pressure wasincreased averaging from 12.7/8.5kPa(95.4/64mmHg)to 17,9/10.6kPa(134.4/80mmHg).Follow-up for 4-17months(average 9 months),all successfully treated patients were stillasymptomaticbut one case in that restenosis was found after 8 months.None had com-plications.The brain(?) embolization,indications and contraindications were discussed.

关 键 词：头臂干动脉 PTA 动脉狭窄 

分 类 号：R654[医药卫生—外科学]