股浅动脉狭窄及闭塞的介入治疗现状.ppt.pptVIP

* 股浅动脉狭窄/闭塞的治疗现状 BASIL (Bypass vs Angioplasty in Severe Ischemia of the Leg) --multicenter, randomised controlled trial Bypass surgery vs balloon angioplasty 27 UK hospitals 5.5 y (1999-2004) 452 patients: severe limb ischemia due to infra-inguinal disease, 269 men, 183 women, mean age 75 228 surgery: 1/3 SFA-PA(AK), 1/3 SFA-PA, 1/3 crural arteries 224 angioplasty(36% transluminal, 50% subintimal, 14% mixed) 162(80%) SFA, 126(62%) include more distal vessels Primary endpoint: amputation or death 40% DM, 1/3 smokers Follow: 449 (99%)- 1y 336 (74%)- 2