摘要
目的：探讨Viabahn腔内人工血管治疗髂股动脉长段闭塞性病变的临床经验和预后,评价其在外周动脉闭塞性病变治疗方面的疗效。方法：回顾性分析经腔内介入治疗的78例（89条肢体）髂股动脉长段闭塞性病变患者的临床资料。根据患者意愿分为裸支架组（42例,48条肢体）和Viabahn腔内人工血管组（36例,41条肢体）,比较2组患者的一般资料、围手术期情况、远期通畅率和保肢率等,随访时间为3-12个月,平均随访11.08个月。结果：术后2组患者缺血症状明显改善，踝肱指数（ABI）较术前均明显升高（P〈0．05）；术后随访3、6、9个月2组患者的一期和二期通畅率比较差异无统计学意义（P〉0．05），Viabahn腔内人工血管组患者12个月后一期通畅率和二期通畅率均明显高于裸支架组（P〈0．05）；2组患者的1年保肢率均为100％；Viabahn腔内人工血管组患者术中动脉血栓形成概率明显低于裸支架组（P〈0．05）。结论：应用Viabahn腔内人工血管治疗髂股动脉长段（≥10cm）闭塞性病变是安全、有效的，且其12个月的远期通畅率和术中动脉血栓形成概率明显优于金属裸支架。
Objective：To discuss the experiences and therapeutic effects of Viabahn endovascular treatment in transluminal vascular occlusive disease of long segment of iliac-femoral artery,and to evaluate its curative effect in occlusive disease of peripheral artery.Methods：The clinical data of total 78 patients（89lower limb）with transluminal vascular occlusive disease of long segment of iliac-femoral artery were collected and the patients were divided into bare stent group（42cases,48 lower limb）and Viabahn group（36cases,41 lower limb）.The general information,peri-operative and long-term patency rate,and rate of limb salvage of patients in two groups were collected.The follow-up time was 3- 12 months and the average follow-up time was 11.08 months.Results：Compared with before operation,the ischemic symptoms of the patients in two groups after operation were improved and the ankle brachia index（ABI）was increased（P〈0.05）.3,6,and 9 months after post-operative follow-up,the primary and secondary patency rates of the patients in two groups showed no significant difference（P〈0.05）.12 months after post-operative follow-up,the primary and secondary patency rates of the patients in Viabahn group were higher than those in bare stent group（P〈0.05）.The 1-year limb salvage rates of patients in two groups were 100%.The patients in bare stent group had more risk to suffer stent thrombosis than those in Viabahn group（P〈0.05）.Conclusion：Using Viabahn for treatment of transluminal vascular occlusive disease of long segment of iliac-femoral artery（≥10cm）is safe and effective,and the 12-month long-term patency rate and the risk to suffer stent thrombosis are superior to bare stent.
出处
《吉林大学学报（医学版）》
CAS
CSCD
北大核心
2016年第3期577-581,共5页
Journal of Jilin University：Medicine Edition
基金
吉林省科技厅科技发展计划项目资助课题(201201039)
关键词
动脉闭塞性疾病
髂动脉
股动脉
人工血管
支架
arterial occlusive disease
iliac artery
femoral artery
artificial vessel
stent
