Asahi系列导丝应用于开通股动脉闭塞的临床体会  

The clinical experience of Asahi guidewire applied to completely occluded femoral artery

作　　者：高一菁 李庞 叶雪梅 彭梦苗 GAO Yi-jing;LI Pang;YE Xue-mei;PENG Meng-miao(Department of Vascular Surgery,Guangzhou Red Cross Hospital,Guangzhou 510120,China)

机构地区：[1]广州市红十字会医院血管外科,广州510220

出　　处：《岭南现代临床外科》2020年第2期214-218,共5页Lingnan Modern Clinics in Surgery

摘　　要：目的对我中心应用Asahi导丝开通股浅动脉CTO的临床经验进行总结。方法入选2018年1月至2019年12月广州市红十字会医院收治64例下肢股浅动脉重度狭窄或闭塞患者(64条患肢),所有病例均采用Asahi导丝顺行开通闭塞的股浅动脉,记录开通方案、动脉损伤、开通时间等情况。结果所有病例股浅动脉均顺利开通,技术成功率100%,无发生严重动脉损伤等并发症,一次开通成功率92.19%(59/64),一次开通时间为15.3±4.7 min。结论利用Asahi系列导丝特性来顺行开通股浅动脉闭塞的技术用于是安全有效的,且开通成功率高。Objective How to penetrate chronic superficial femoral artery occlusion(CTO)is now still in front great challenge.We summarize the surgical experience of chronic complete femoral arterial occlusion with Asahi guide wire crossing device.Methods From January,2018 to December 2019,64 patients(64 limbs)with severe superficial femoral artery stenosis or occlusion were admitted to Guangzhou Red Cross society hospital.All the patients were treated with Asahi guide wire to penetrate the occlusive superficial femoral artery,and the usage amount of Asahi guide wire,arterial injury,and time of penetrating were recorded.Results The superficial femoral artery was successfully penetrated in all cases,the technical success rate was 100%,and no serious arterial injury and other complications occurred.The success rate of primary penetrating was 92.19%(59/64),and the duration of primary penetrating was 15.3±4.7 minutes.Conclusion It is safe and effective to use Asahi series guide wire to penetrate the superficial femoral artery occlusion,and the opening success rate is high,so it can be worth promoting.

关 键 词：下肢动脉闭塞 Asahi导丝 股浅动脉 腔内治疗 

分 类 号：R654.3[医药卫生—外科学]