摘要
目的:总结血管内支架治疗锁骨下动脉狭窄或闭塞的经验.方法:回顾性分析26例28支锁骨下动脉狭窄或闭塞行血管内支架置入治疗的临床资料.结果:全部26例患者中24例25支锁骨下动脉成功置入内支架(均为自膨胀支架),28支锁骨下动脉中10支闭塞,18支狭窄均大于80%,2例3支锁骨下动脉闭塞未能成功置入支架;25支锁骨下动脉成功置入支架后桡动脉,肱动脉搏动好,椎动脉显影良好,窃血现象消失.本组有5例锁骨下动脉闭塞经肱动脉逆行穿刺置入内支架.随访发现1例1年后复发锁骨下动脉狭窄.结论:应用血管内置架治疗锁骨下动脉狭窄或闭塞是一种安全、有效的微创治疗方法,经传统的股动脉路径难以实施时,可以选择经肱动脉逆行穿刺置人的路径.
Objective： To sum the experience of intravascular stents applied on subclavian artery stegnosis or occlusion. Methods： Retrospective analysis the clinical numerical data of 26 patients with subclavian artery stegnosis or occlusion treated with 28 intravascular stents. Results： 25 subclavian arteries with obstructive diseases in 26 patients placed stents（all being auto expanding stents）, 10 in 28 subclavian arteries occluded, 18 subclavian arteries stenosed 〉 80%. Stent placement was unsuccessful in two cases with three obstructed arteries. The brachial arteries and radial arteries beating well after 25 subclavian arteries performed stent - PTAS, vertebral arteries developing well, phenomenon of stealing blood vanishing. Five cases were perfomed antidromic puncture of brachial arteries before stent placement.During follow - up,one eases occurred restegnosis one year later. Conclusion： Intravascular stents was safe, effective and mini - vulnerarious in subclavian artery stegnosis or occlusion disease. Antidromic puncture of brachial artery may be successful when classical puncture of femoral artery was unsuccessful.
出处
《中国医药导刊》
2005年第5期361-362,365,共3页
Chinese Journal of Medicinal Guide
