锁骨下动脉闭塞再通的介入治疗

Interventional Treatment for Subclavian Artery Occlussion

目的:观察介入治疗锁骨下动脉闭塞的疗效和安全性。方法:回顾性分析13例锁骨下动脉闭塞病变患者行介入治疗开通的临床资料。应用导丝、球囊扩张及支架置入的方法经股动脉顺行穿刺或经桡动脉逆行穿刺进行开通。结果:13例全部开通成功,其中8例经股动脉开通,5例采用双向开通,13例患者症状体征改善明显。术后管腔狭窄程度降低至(14.8±8.2)%;术后6个月随访,管腔狭窄程度为(16.7±9.3)%,与术后效果比无统计学差异(P>0.05)。结论:锁骨下动脉闭塞病变采用介入治疗安全有效,随访疗效确切,可作为首选的治疗方案。

Objective To observe the efficacy and safety of interventional treatment of subclavian artery occlusion.Methods The clinical data of 13 patients with occlusive lesions of the subclavian artery treated with interventional therapy were retrospectively analyzed.The lesioned vessels were opened by using a guide wire,balloon dilation and stent placement through the femoral artery puncture or through the radial artery by retrograde puncture.Results All 13 cases were successfully opened,of which 8 cases were opened via the femoral artery,5 cases were bidirectionally opened,and the symptoms and signs of 13 cases improved significantly.The degree of stenosis was reduced to(14.8±8.2)%after surgery,and the degree of stenosis was(16.7±9.3)%at 6-month postoperative follow-up,which was not statistically different from the postoperative effect(P>0.05).Conclusion Interventional therapy for subclavian artery occlusion is safe and effective,and the follow-up effect is accurate.It can be used as the first choice of treatment.