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重症下肢缺血膝下动脉病变腔内治疗研究进展 被引量：3

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摘要 重症肢体缺血（critical lim bischemia,CLI）是一种严重的外周血管病变,由于动脉血供的减少导致静息痛、缺血性溃疡和肢体坏疽[1]。CLI由于动脉灌注不足不能满足肢体代谢的需要而导致皮肤破溃、组织坏死,最后导致肢体坏疽、截肢,甚至败血症而死亡。在及时重建血运的情况下,CLI未来2年病死率和截肢率均为25%[2]。
作者 白漫婷 原标 张望德
机构地区 首都医科大学附属北京朝阳医院血管外科
出处 《解放军医药杂志》 CAS 2012年第8期46-49,共4页 Medical & Pharmaceutical Journal of Chinese People’s Liberation Army
基金 中国卫生事业发展基金资助项目(20101212)
关键词 动脉闭塞性疾病 血管成形术 球囊 支架
分类号 R654.4 [医药卫生—外科学]
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参考文献26

  • 1Novo S,Coppola G,Milio G.Critical limb ischemia:definition and natural history[J].Curr Drug Targets Cardiovasc Haematol Disord,2004,4(3):219-225.
  • 2Norgren L,Hiatt W R,Dormandy J A,et al.Inter-Society consensus for the management of peripheral arterial disease (TASC Ⅱ).[J].Eur J Vasc Endovasc Surg,2007,33(Suppl 1):S1-S75.
  • 3Romiti M,Albers M,Brochado Neto F C,et al.Meta-analysis of infrapopliteal angioplasty for chronic critical limb ischemia[J].J Vasc Surg,2008,47(5):975-981.
  • 4Nehler M R,Wolford H.Natural history and non-operative treatment of chronic lower extremity ischemia[M] //Rutherford RB.Vascular Surgery.6th ed.Philadelphia:Elsevier Saunders,2005:1083-1094.
  • 5Rutherford R B,Baker J D,Ernst C,et al.Recommended standards for reports dealing with lower extremity ischemia:revised version[J].J Vasc Surg,1997,26(3):517-538.
  • 6Dorros G,Jaff M R,Dorros A M,et al.Tibioperoneal (outflow lesion) angioplasty can be used as primary treatment in 235 patients with critical limb ischemia:five-year follow-up[J].Circulation,2001,104(17):2057-2062.
  • 7Graziani L,Silvestro A,Bertone V,et al.Vascular involvement in diabetic subjects with ischemic foot ulcer:a new morphologic categorization of disease severity[J].Eur J Vasc Endovasc Surg,2007,33(4):453-460.
  • 8Faglia E,Dalla Paola L,Clerici G,et al.Peripheral angioplasty as the first-choice revascularization procedure in diabetic patients with critical limb ischemia:prospective study of 993 consecutive patients hospitalized and followed between 1999 and 2003[J].Eur J Vasc Endovasc Surg,2005,29(6):620-627.
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二级参考文献39

  • 1马中,边杰芳,王岭,袁时芳,张聚良,宁莫凡.自体大隐静脉旁路术治疗下肢动脉硬化闭塞症[J].中华普通外科杂志,2006,21(12):871-873. 被引量：6
  • 2Kannel WB. The demographics of claudication and the aging of the American population[J]. Vase Med, 1996,1 (1) :60-64.
  • 3Adam DJ, Beard JD, Cleveland T, et al. Bypass versus angioplasty in severe ischaemia of the leg(BASIL) :multicentre, randomised controlled trial [J]. Lancet ,2005 366(9501) :1925-1934.
  • 4Rutherford RB. Vascular surgery[M]. 6th ed. Philadelphia:W. B. Saunders Company,2005:1 192-1215.
  • 5White CL,Gray WA. Endovascular therapies for peripheral arterial disease:an evidence-based review[J]. Circulation,2007,116(19):2203 -2215.
  • 6Krankenberg H,Sorge I,Zeller T,et al.Percutaneous transluminal angioplasty of infrapopliteal arteries in patients with intermittent claudication:acute and one-year results.Catheter Cardiovasc Interv,2005,64:12-17.
  • 7Spence MT,David LC.Comparison of interventional outcomes according to preoperative indication:a single center analysis of 2,240 limb revascularizations.J Am Coll Surg 2009,208:770-780.
  • 8Joseph L,Mills S.Open bypass and endoluminai therapy:complementary techniques for revascularization in diabetic patients with critical limb ischaemia.Diabetes Metab Res Rev,2008,24(Suppl 1):S34-S39.914-917.
  • 9Conrad M F,Kang J,Cambria R P,et al.Infrapopliteal balloon angioplasty for the treatment of chronic occlusive disease.J Vasc Snrg,2009,50:799-805.
  • 10Faglia E,Clerici G.When is a technically successful peripheral angioplasty effective in preventing above-the-ankle amputation in diabetic patients with critical limb ischaemia? Diabetic Medicine,2007:823-829.

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解放军医药杂志
2012年 第8期

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