长段股胭动脉硬化闭塞的腔内治疗

Endovascular treatment of long femoro-popliteal arterial occlusions of lower extremities

目的评价血管腔内治疗长段股胭动脉硬化闭塞的临床效果。方法2006年4月～2009年1月采用血管腔内治疗长段股胴动脉硬化闭塞10例，10条肢体术中同时行股胭动脉血管腔内球囊扩张成及支架植入术。结果手术技术成功率是90％，放置10个支架，术后12个月通畅率为70％，术后血管再狭窄率30％。结论血管腔内成形治疗长段股胭动脉硬化闭塞是一种安全有效的治疗方法。

Objective To explore the feasibility and outcome of percutaneous transluminal angioplasty （PTA） as a primary treatment modality long femoro-popliteal arterial occlusions in critical limb ischemia. Methods Ten cases with 10 lesions in their femoro-popliteal arterial occlusions were treated with PTA, and the symptoms, intraoperative and postoperative DSA characteristics were retrospectively analyzed. Short-term follow-up were obtained in 8 cases. Results The technical success rate related to procedure was 90% and 12 stents were placed after PTA in femoro-popliteal arterial occlusions. One case was suffered fromamputa- tion due to development of compartment syndrome. The primary patency rate and recurrence rate of 12 months after procedure were 70% and 30% respectively. Conclusion Patients with critical limb ischemia could be beneficial from PTA in long femoro-popliteal arterial occlusions.