锁骨下动脉损伤及创伤性假性动脉瘤的腔内治疗策略.PDFVIP

重庆医科大学学报 年第 卷第 期（Journal of Chongqing Medical University .Vol. No.5） — 612 — 2011 36 5 2011 36 临床研究 文章编号：0253- 3626 （2011）05- 0612- 03 锁骨下动脉损伤及创伤性假性动脉瘤的腔内治疗策略 成 军，赵 渝，张 矛 （重庆医科大学附属第一医院血管外科，重庆 400016） 【摘 要】目的：探讨锁骨下动脉损伤及创伤性动脉瘤腔内介入治疗的方法和经验。方法：对5 例急性锁骨下动脉损伤伴出血 性休克，2 例外伤后锁骨下动脉闭塞，2 例外伤性锁骨下假性动脉瘤，1 例外伤性锁骨下动静脉瘘。实施了腔内支架治疗，成功实 施9 例，1 例造影后发现血管完全断裂后立即转为开放手术。结果：所有患者均痊愈，随访4~30 月，所有支架置入病例血管通 畅，无严重狭窄及闭塞发生。结论：血管内支架技术治疗锁骨下动脉损伤，安全可靠，创伤小，并发症少，是一种崭新的、有效的 治疗方法。 【关键词】锁骨下动脉损伤；创伤性假性动脉瘤；腔内治疗；覆膜支架 【中国图书分类法分类号】R815 ；R543.5 【文献标志码】A 【收稿日期】2010- 12- 13 The stratey of endovascular therapy in patients with injury of subclavian artery and traumatic pseudoaneurysm ， ， CHENG Jun ZHAO Yu ZHANG Mao （ ， ， ） Deptartment of Vascular Surgery the First Affiliated Hospital Chongqing Medical University 【Abstract 】 ：To investigate the new methods and efficacy of endovascular therapy in patients with injury of subclavian artery and Objective traumatic pseudoaneurysm. Methods ：Endovascular therapy was performed in 5 cases of acute subclavian artery injury with hemorrhagic shock，2 cases of traumatic subclavian artery occlusion ，2 cases of traumatic subclavian pseudoaneurysm，and 1 case of traumatic fistula in subclavian vessels. Successful implementation of stents were in 9 cases ，and 1 case had an immediate conversion to open surgery. Results ：All patients were cured ，and followed up for 4 to 30 months. Stent patency was in all cas