中国实用外科杂志

中国实用外科杂志 ›› 2009, Vol. 29 ›› Issue (11): 896-899.

• 专题笔谈 • 上一篇    下一篇

主髂动脉闭塞症的腔内治疗

吴丹明   

  1. 辽宁省人民医院血管外科，辽宁沈阳100015
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2009-11-09 发布日期:2009-11-09

  • Received:1900-01-01 Revised:1900-01-01 Online:2009-11-09 Published:2009-11-09

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摘要：

随着血管腔内技术和器材的不断进步以及对主髂动脉闭塞腔内治疗认知的不断加深，腔内治疗已成为主髂动脉闭塞常规选用的治疗方法。治疗包括入路选择、闭塞段的开通和再血管化。其技术成功率有赖于合理选择入路、长血管鞘与捕捉器的应用、再血管化前的溶栓治疗、内膜下成形术和超声消融的辅助应用。然而，腔内治疗的远期效果尚须进一步随访。

关键词: 主髂动脉闭塞, 腔内技术

Abstract:

Transluminal treatment of aortoiliac artery occlusions WU Dan-ming. Department of Vascular Surgery,People’s Hospital of Liaoning Province,Shenyang 110016,China Abstract With the development of transluminal technique and devices, and with surgeon’s and patients’ deepening awareness of aortoiliac transluminal treatment, transluminal technique has become the primary choice for aortoiliac occlusive diseases. The method includes acess selecting, recanalization of occlusions and revascularization.Technical success is associated with reasonable access, long sheath and capture devices usage, thrombolysis prior to revascularization, subintimal angioplasty and ultrasonic ablation. However, the future outcomes of transluminal technique require further follow-up.

Key words: aortoiliac occlusion, transluminal technique