微创治疗锁骨下动脉窃血综合征  

Application of percutaneous transluminal angioplasty and stent in the treatment of subclavian steal syndrome

作　　者：陈忠[1] 吴庆华[1] 

机构地区：[1]首都医科大学附属北京安贞医院血管外科,100029

出　　处：《中华外科杂志》2003年第7期499-501,共3页Chinese Journal of Surgery

摘　　要：目的　探讨经皮血管内成形术 (PTA)及内支架置放术治疗锁骨下动脉窃血综合征 (SSS)的疗效。　方法　应用PTA及内支架置放术治疗因锁骨下动脉狭窄致SSS患者 78例 ,单纯行PTA 2 2例 ,行PTA加支架置放术 56例。　结果　 78例患者手术全部获得成功。随访 66例 ,随访时间 1～ 71个月 ,平均 2 7个月 ,随访率 84 6 %。随访病例经彩超及多普勒血流图检查 ,均未发生病变部位再狭窄 ,血流通畅良好 ,椎动脉均为正常血流 ,放置支架无脱落及移位。　结论　PTA及内支架置放术治疗因锁骨下动脉起始段狭窄引起的SSS是一种创伤小、疗效满意。Objective To explore the clinical effect of percutaneous transluminal angioplasty (PTA) and stent on the subclavian steal syndrome. Methods The clinical results of PTA and stent in the treatment of subclavian steal syndrome in 78 patients were analysed. Results 100% interventional procedure success rate was achieved with a mean systolic arterial pressure difference of ≤10 mm Hg between both upper limbs and normalization of radial pulses. No major complications occurred. During a period of 27 month followup 66 patients were free of adverse events except fail of followup in 12 patients. Conclusion PTA with stent placement is a good method in the treatment of subclavian steal syndrome. It is a safe, easy to be performed, minimally invasive procedure with good clinical results.

关 键 词：微创外科 外科治疗 锁骨下动脉窃血综合征 经皮血管内成形术 内支架置放术 

分 类 号：R654.3[医药卫生—外科学]