介入治疗下肢动脉硬化性闭塞症30例

Endovascular Treatment of Arteriosclerosis Occlusive Disease

目的探讨下肢动脉硬化性闭塞症腔内治疗的临床经验。方法采用介入技术(球囊和/或支架)治疗下肢动脉硬化性闭塞症患者30例(35条肢体)。结果33条肢体均成功进行球囊扩张和/或支架置入治疗;2例转手术搭桥。1例髂动脉支架,2例股浅动脉支架后再次出现下肢缺血,再次予以球囊扩张支架置入治疗,症状缓解。所有病例随访3～36月,平均21月,患者临床症状明显改善,踝肱指数(ABI)0.66±0.12。结论介入技术是下肢动脉硬化性闭塞症治疗安全、有效方法。

Objective To evaluate the preliminary clinical results of endovasular management for arteriosclerosis occlusive disease of lower extremities. Methods From January 2005 to January 2008 endovasctilar treatments （PTA and stenting） were performed on 35 lower extremities of 30 patients suffering from arteriosclerosis occlusive disease. Results 33 limbs were successfully performed. One iliac stenting and 2 superfical femoral stenting cases appeared re-occlusion during follow-up and resolved by PTA and stenting again. The mean follow-up period was 21 months （3-36months）. The post-operative ABI was 0.66 ± 0.12. There was no death. Conclusions Endovascular treatment （PTA and stenting） can be safely and effectively performed for arteriosclerosis occlusive disease of lower extremities.