完全无对比剂下支架成形治疗髂动脉重度狭窄一例  

A case of severe iliac artery stenosis treated by stenting without contrast agent

作　　者：佟铸[1] 谷涌泉[1] 郭连瑞[1] 李杨[1] 李立强[1] 王飞[1] 张建[1] 汪忠镐[1] Tong Zhu;Gu Yongquan;Guo Lianrui;Li Yang;Li Liqiang;Wang Fei;Zhang Jian;Wang Zhonggao(Department of Vascular Surgery,Xuanwu Hospital,Institute of Vascular Surgery,Capital Medical University,Beijing 100053,China)

机构地区：[1]首都医科大学宣武医院血管外科首都医科大学血管外科研究所

出　　处：《中国医师杂志》2019年第12期1771-1773,共3页Journal of Chinese Physician

基　　金：北京市医院管理局“登峰”人才培养计划(DFL201508013);首都卫生发展科研专项项目(首发2016-1-20124);国家重点研发计划项目(2017YFC1104100);北京市属医院科研培育计划(PX2018035);北京市医管局青苗计划(QML20180804)~~

摘　　要：对比剂过敏者腔内治疗过程中再次应用对比剂可能导致严重的过敏反应;对于髂外动脉局限性狭窄患者,腔内治疗(支架成形术)是首选治疗方式。对于对比剂过敏的髂动脉重度狭窄患者能否采用腔内治疗?本文报告一例无对比剂下髂动脉支架成形术。该手术方式的成功实施要求充分的术前、术中准备,术中狭窄部位及有无残存狭窄的准确判定。Re-use of contrast agent during endovascular treatment in patients with contrast agent allergy may lead to severe allergic reaction.For patients with localized stenosis of external iliac artery,endovascular therapy(stenting)is the first choice.Whether patients with severe iliac artery stenosis with contrast allergy can be treated with endovascular therapy is unknowed.A case of iliac artery stenting without contrast agent is reported in this paper.The successful implementation of this operation requires adequate preoperative and intraoperative preparation,and the accurate determination of the stenosis site and the presence or absence of residual stenosis during the operation.

关 键 词：血管成形术 造影剂 自胀式金属内支架 髂动脉狭窄 

分 类 号：R65[医药卫生—外科学]