中国实用外科杂志

中国实用外科杂志 ›› 2008, Vol. 28 ›› Issue (08): 657-659.

• 论著 • 上一篇    下一篇

TASC-C、D型慢性主髂动脉硬化性闭塞腔内介入治疗14例分析

叶猛,梁卫,张皓,黄晓钟,张纪蔚   

  1. 上海交通大学医学院附属仁济医院血管外科，上海200001
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2008-08-29 发布日期:2008-08-29
  • 通讯作者: 张纪蔚

Endovascular treatment of chronic iliac artery occlusions for TASCC and D patients:an analysis of 14 cases

<a href="https://www.zgsyz.com/zgsywk/EN/article/advancedSearchResult.do?searchSQL=(((YE Meng[Author]) AND 1[Journal]) AND year[Order])" target="_blank">YE Meng</a>,<a href="https://www.zgsyz.com/zgsywk/EN/article/advancedSearchResult.do?searchSQL=(((LIANG Wei[Author]) AND 1[Journal]) AND year[Order])" target="_blank">LIANG Wei</a>,<a href="https://www.zgsyz.com/zgsywk/EN/article/advancedSearchResult.do?searchSQL=(((ZHANG Hao[Author]) AND 1[Journal]) AND year[Order])" target="_blank">ZHANG Hao</a>,<a href="https://www.zgsyz.com/zgsywk/EN/article/advancedSearchResult.do?searchSQL=(((et al.[Author]) AND 1[Journal]) AND year[Order])" target="_blank">et al.</a>   

  1. Department of Vascular Surgery,the Affiliated Ren Ji Hospital of Shanghai Jiao Tong University School of Medicine,Shanghai 200001,China
  • Received:1900-01-01 Revised:1900-01-01 Online:2008-08-29 Published:2008-08-29

PDF

摘要：

目的:探讨TASC-C、D型慢性主髂动脉病变腔内介入治疗的操作成功率、安全性和近期通畅率。方法:2005年4月至2006年12月，上海交通大学医学院附属仁济医院血管外科采用血管腔内介入方法治疗TASCC、D型慢性主髂动脉病变病人14例，其中2例接受了二期远端流出道重建。结果:无围手术期死亡。血管腔内介入治疗成功率为93.7%,并发症发生率为7.1%。随访2～20个月（平均6.5个月），病人症状无加重或复发。结论:血管腔内介入治疗TASC-C、D型慢性主髂动脉病变具有较高的操作成功率，围手术期并发症少，近期效果确切，其长期疗效尚须进一步随访观察。

关键词: 动脉硬化性闭塞症, 介入治疗, 血管内支架

Abstract:

Objective:To evaluate the safety,technical success rate,and shortterm patency of endovascular treatment for iliac artery occlusions based on the patient’s Transatlantic Intersociety Consensus (TASC) stratification. Methods:From April 2005 to December 2006,14 patients with iliac artery occlusions (TASC-C,D) were performed endovascular therapy at the Affiliated Ren Ji Hospital of Shanghai Jiao Tong University. Among them,2 patients underwent surgical outflow reconstruction combined with endovascular therapy. Results:There was no perioperative death.The technical success rate was 93.7%.All patients were followed-up for 2-20 months with satisfactory results and no recurrence was occurred. Conclusion:TASC-C,D iliac lesions can be safely treated via endovascular means with high technical success rate,low incidence rate of perioperative complications and definite shortterm patency.The long-term patency should be studied further.

Key words: arterial occlusive disease;endovascular treatment, stent