血管腔内超声联合血栓保护装置在下肢动脉疾病中的应用  

Application of intravascular ultrasound combined with thrombus protection device in lower extremity arterial disease

作　　者：陈国君[1] 余翀[1] 王翔 洪毅 葛进[1] 周斌[1] CHEN Guojun;YU Chong;WANG Xiang;HONG Yi;GE Jin;ZHOU Bin(Department of Vascular Surgery,Shanghai East Hospital,Tongji University School of Medicine,Shanghai 200120,China)

机构地区：[1]同济大学附属东方医院血管外科,上海200120

出　　处：《重庆医学》2021年第17期2977-2980,共4页Chongqing medicine

基　　金：上海市浦东新区卫生和计划生育委员会科技项目(PW2017B-7)。

摘　　要：目的探讨下肢动脉闭塞病变中,血管腔内超声(IVUS)联合远端保护装置的应用价值。方法回顾分析2017年1月至2019年11月该院在数字减影血管造影(DSA)联合IVUS指导下应用血管介入技术治疗的37例下肢动脉复杂病变患者资料,根据检查结果确定血管远端保护装置等治疗方案。术后采用IVUS、CT血管造影等随访,观察治疗效果。结果所有患者均成功进行IVUS检查,15例患者经IVUS诊断为血栓性病变,进行溶栓治疗,其中7例患者于溶栓后再辅以支架置入;12例患者经IVUS检查后确认符合血管远端保护装置使用标准,其中11例捕获脱落栓子。结论IVUS指导血管远端保护装置使用可降低并发症。Objective To investigate the value of intravascular ultrasound(IVUS)combined with distal embolism protection device in lower extremity arterial occlusive disease.Methods From January 2017 to November 2019,under the guidance of digital subtraction angiography(DSA)combined with IVUS,37 cases of complex arterial lesions of lower limbs were treated with vascular interventional technology.The results of DSA and IVUS also determined the usage of vascular distal protection device.The patients were followed up by IVUS and CT angiography.Results IVUS examination was successfully performed in all patients.15 patients who were diagnosed as thrombotic lesions by IVUS were treated with thrombolysis.7 of those patients were supplemented by stent implantation after thrombolysis.12 patients were confirmed to meet the standard of vascular distal protection device,of which 11 cases captured exfoliated emboli.Conclusion Using vascular distal protection devices by IVUS guiding is able to reduce related complications.

关 键 词：血管腔内超声 动脉栓塞 远端保护装置 下肢动脉疾病 并发症 

分 类 号：R654.4[医药卫生—外科学]