经皮腔内血管成形术血运重建治疗糖尿病严重肢体缺血

Percutaneous transluminal angioplasty revascularization for critical limb ischemia in diabetic patients

目的探讨膝下动脉经皮腔内血管成形术治疗糖尿病患者严重肢体缺血(CLI)的疗效。方法2006年10月—2007年10月对21例糖尿病严重肢体缺血患者采用DEEP球囊行膝下动脉成形术。结果对69条病变血管进行球囊扩张,支架植入12枚,PTA成功率82.61%(57/69),其中2例术后行高位截肢,其余有效。结论经皮腔内血管成形术血运重建可作为治疗糖尿病严重肢体缺血患者的首选治疗方法。

Objective To study the therapeutic effect of percutaneous transluminal angioplasty （PTA） for below-knee artery in patients with diabetes with critical limb ischemia. Methods PTA with DEEP balloon was performed in 21 diabetic patients with CLI below-knee level. Results A total of 69 diseased arteries were treated. The overall successfully PTA rate being 82.61% （57/69）. Twelve patients were treated by intravascular stenting, and major amputation were performed in 2 patients after operation. Conclusion Percutaneous transluminal angioplasty revascularization can be regarded the first choice in the treatment of diabetic patients with critical limb ischemia.