摘要
目的探讨导管溶栓术联合腔内血管成形治疗TASC D型主髂动脉闭塞的可行性.方法回顾性分析2014年1月至2017年6月在首都医科大学附属北京潞河医院就诊选择采用导管溶栓联合腔内血管成形术治疗的27例(33条患肢)TASC D型主髂动脉闭塞患者的临床治疗资料.结果导管溶栓术后,31条患肢成功行腔内血管成形治疗,手术成功率93.9%(31/33);腔内治疗成功患者ABI从术前的0.47±0.09提高到术后的0.80±0.11(P<0.01);术后随访6、12、24个月的通畅率分别为90.32%、80.65%、77.42%.术后血肿形成1例(3.85%),未出现髂动脉破裂,动静脉瘘、深静脉血栓、假性动脉瘤等并发症.结论导管溶栓能够有效地减少甚至去除动脉腔内血栓容积,联合腔内血管成形治疗TASC D型主髂动脉闭塞成功率高,近远期通畅率高、并发症少.
Objective To investigate the feasibility,indieation selection and treatment of Catheter-directed thrombolytic therapy with endovascular angioplasty for TASC-D type aorto-iliac artery occlusive diseases.Methods From Jan 2014 to Jun 2017,the clinical data of 27 patients(33 limbs)with TASC-D type aorto-iliac artery occlusive diseases were analyzed retrospectively.Results After catheter embolization,31 limbs were sucessfully treated with endovascular angioplasty,the success rate was 93.9%(31/33).ankle brachial index(ABI)of successful limbs improved from(0.47±0.09)preoperatively to(0.80±0.11)postoperatively(P<0.01).The patency rates of 6、12、24 months were 90.32%,80.65%,77.42%,One case(3.85%)suffered hematoma.There were no other major complications such as iliac artery rupture,arteriovenous fistula,deep vein thrombosis or pseudoaneurysm.Conclusions Catheter-directed thrombolytic therapy can ffectively reduce artery lumen thrombosis volume.Catheter-directed thrombolytic therapy with endovascular angioplasty for TASC-D type aorto-iliac artery occlusive diseases is a.safe and ffctive treatmenl.
作者
田广健
刘鹏
杨佩
赵鑫
Tian Guangjian;Liu Peng;Yang Pei;Zhao Xin(Department of General Surgery,Beijing Luhe Hospital,Capital Medical University,Beijing 101100,China)
出处
《中华普通外科杂志》
CSCD
北大核心
2020年第5期393-396,共4页
Chinese Journal of General Surgery
关键词
动脉闭塞性疾病
血管成形术
置管溶栓
Arterial occlusive diseases
Angioplasty
Catheter-directed thrombolytie
