股动脉及桡动脉双入路再通锁骨下动脉闭塞的临床研究

Endovascular Recanalization of Symptomatic Subclavian Artery Occlusion via Dual Femoral and Radial Access

目的探讨症状性锁骨下动脉闭塞的股动脉及桡动脉双入路介入再通的方法及疗效。方法分析首都医科大学附属北京天坛医院2012年10月至2013年5月症状性锁骨下动脉闭塞股动脉及桡动脉双入路进行血管腔内球囊扩张及支架植入术的临床资料。结果研究共入选10例患者,双入路介入再通均获得成功,未出现近期手术并发症,随访15 d至6个月,经血管彩超及颅外血管计算机断层扫描血管成像(computed tomography angiography,CTA)检查均显示血流通畅良好,未发现病变部位再狭窄。结论对于股动脉及桡动脉双入路再通锁骨下动脉闭塞,血管腔内球囊扩张支架植入术是一种微创、安全、有效的治疗方法,手术操作简单,患者症状改善快且明显,可成为主要的治疗手段。

Objective To investigate the effectiveness of symptomatic subclavian artery occlusion treated with interventional revascularization via femoral artery and radial artery approach. Methods From October 2012 to May 2013, 10 patients with symptomatic subclavian artery occlusion were treated via transtuminal balloon expanding and stent implantation in our institution The clinical results of these patients were analyzed retrospectively. Results The procedures were technically successful in all of the 10 cases. There were no recent complications occurring. There was no in-stent restenosis of those patients verified by vessel ultrasound and computed tomography angiography during the ｜bllow-up period from 15 days to 6 months after the procedures. Conclusion The main advantages of interventional revascularization of subclavian artery occlusion through radial artery and femoral artery are minimally invasive, safe, effective and easy accessible which should be considered to be the optional method for treating subclavian artery occlusion.