经皮血管内支架植入术治疗锁骨下动脉狭窄的临床研究

Clinical research of subclavian artery stegnosis treated with stent implantation

目的:探讨经肱动脉路径行锁骨下动脉支架植入治疗重度锁骨下动脉狭窄和闭塞的疗效。方法:分析2005年9月至2008年3月采取经肱动脉逆行植入支架治疗锁骨下动脉重度狭窄和闭塞10例。术前诊断包括彩色多普勒超声检查和动脉造影确诊。结果:本组支架植入均获成功,支架植入满意,无移位。10例中随访8例,随访时间4-34个月,平均15个月。失访2例,随访率80%。随访期间8例病例均无上肢缺血症状及神经症状发生。结论:逆行锁骨下动脉支架植入是治疗锁骨下动脉重度狭窄和闭塞安全有效的方法。

Objective：To sum up the clinical experience of subclavian artery implantation from humerus artery. Methods： The clinical results in treating stent implantation from humerus artery were analyzed in 10 cases. Results： （80%）cases were followed up with a mean follow-up of 15 months（range 4 serious stegnosis or occlusion treated with the stent subclarian artery serious stegnosis or occlusion with Satisfactory results were obtained in all the cases. 8 to 34 months）. Of the 8 cases there were not arm ischemic symptoms and nervous system symptoms. Conclusion： Stent implantation from humerus artery is a safe and effective method for the treatment of subclavian artery serious stegnosis or occlusion.