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显著偏心性外周血管狭窄:使用心内膜心肌活检装置进行经皮血管斑块旋切术。

Markedly eccentric peripheral vascular stenoses: percutaneous atherectomy with an endomyocardial biopsy device.

作者信息

Bulvas M, Urbanová R, Klézlová R, Vítková I

机构信息

Department of Medicine 2, Division of Angiology, King's Vineyards Hospital, School of Medicine 3, Charles University, Srobarova 50, Prague 10, CZ 101 00, Czech Republic.

出版信息

Radiology. 2000 Nov;217(2):587-92. doi: 10.1148/radiology.217.2.r00oc12587.

Abstract

In 23 patients, percutaneous atherectomy was performed with an endomyocardial biopsy device in 27 eccentric stenoses of lower limb arteries. The mean percentage stenosis was reduced from 82% to 14% (P: <.001). Histopathologic examination revealed no media or adventitial tissue in the extracted particles. The technical success and complication rates were similar to those reported for conventional percutaneous transluminal angioplasty of short symmetric lesions.

摘要

在23例患者中,使用心内膜心肌活检装置对27处下肢动脉偏心性狭窄进行了经皮斑块旋切术。平均狭窄百分比从82%降至14%(P<0.001)。组织病理学检查显示,提取的颗粒中无中膜或外膜组织。技术成功率和并发症发生率与报道的短段对称性病变传统经皮腔内血管成形术相似。

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