双入路血管内支架成形治疗锁骨下动脉盗血综合征

Dual-access endovascular stenting angioplasty for the treatment of subclavian steal syndrome

目的探讨双入路血管腔内成形术治疗锁骨下动脉盗血综合征的疗效。方法采用经肱动脉和股动脉双入路交换导丝贯通行血管内支架成形治疗7例左锁骨下动脉闭塞(狭窄)。结果双入路血管内支架成形治疗锁骨下动脉闭塞患者,手术成功率高,7例左锁骨下动脉血流完全通畅、椎动脉血流方向恢复。局部并发症少。结论双入路血管内支架成形术对于锁骨下动脉闭塞患者效果可靠,操作相对简单、安全,并发症少。

Objective To assess the therapeutic effect of dual-access endovascular stenting angioplasty in treating subclavian steal syndrome. Methods Endovascular catheterization was performed through both the brachial artery （upper approach） and the femoral artery （lower approach）. By using guidewire exchange and connection technique a passage for stent delivery was thus established and the endovascular stenting angioplasty procedure was carried out. The procedure was carried out in seven patients with left subclavian arterial occlusion or stenosis. Results After the treatment the left subclavian artery was completely opened in all seven patients,and the blood flow direction in vertebral arteries returned to normal. Dual-access endovascular stenting angioplasty had higher technical success rate with fewer local complications in treating patients with subclavian arterial occlusion. Conclusion For the treatment of subclavian arterial occlusion dual-access endovascular stenting angioplasty is simple and safe with reliable effect and fewer complications.