下肢动脉闭塞性病变介入开通治疗的策略.pdfVIP

! 6 ! 西医药杂志2011 年1 月第40 卷第1期上半月 Sh nxi M ed J, J nu ry 2011, Vol. 40, No. 1 th e First 下肢动脉闭塞性病变介入开通治疗的策略 中国医科大学附属第一医院( 11000 1) 肖 亮 童家杰 申 景 徐 克 2001 2 2009 11 76 ( DSA) / , 45 , 31 , 32~ 85 1~ 40 cm, 10 h 30 ( PT A) , 1 , 12 5 97% ( 74/ 76) , 26 , 65 , PTA 68 , 62 11 62 , , ; ; Tactic of interventional therapy for occlusive lesion in arteries of lower extremity X I A O L iang , TON G J iaj ie, S H EN J ing , X U K e. The First Clinical H os ital of China M ed ical University , S heny ang 11000 1, Chin Abstract Objective T o explore the intervention l ther peutic t ctic of occlusive lesion in rteries of low er extremit y. Methods During Feb 2001 to Nov 2009, seventysix p tients (45 m le nd 31 fem le) whose rteri l occlusive lesions in ili c rtery nd/ or femor l rtery h d been di gnosed by DSA ccepted intervention l ther pies. Among 76 p tients, the lengt h of occlusive rteries r nged from 1 cm t o 40 cm, the interv l betw een symptom e merging nd intervention l ther peut ic beginning r nged f rom 10 hours t o 30 y e rs. The intervention l ther peutic tools included loc l t hrombolytic ther py through endo rteri l c theter , rtery rec n liz t ion by guide wire, PT A nd stent. After int ervention l oper tion, p tients were dministr ted ntico gul nt nd ntibiotics for one week. Followup interv l r nged 1~ 5 y e rs. Results Immedi te technic l success r te w s 97% ( 74/ 76 c ses) . T he r teri l occlusions were resolved successfully ( loc l thrombolytic ther py in 26 c ses, rec n liz tion by guide w ire in 65c ses, PT A in 68 c ses nd stent in 62 c ses) . There were not severe com plic tions ( such s ng