Müller-Hülsbeck S, Grimm J, Jahnke T, Brossmann J, Hilbert C, Heller M
Klinik für Diagnostische Radiologie, Universitätsklinikum, Christian-Albrechts-Universität Kiel.
Rofo. 2000 Oct;172(10):836-41. doi: 10.1055/s-2000-7896.
To determine the success and patency rates of the new, balloon-expandable Bridge-stents for treatment of occlusions and stenoses of iliac arteries.
Between April and October 1999, 21 patients suffering from peripheral arterial occlusive disease were treated (22 lesions). In 20 cases high-grade stenoses and in two cases complete occlusions were treated. 23 balloon-expandable Bridge-stents were implanted in the common iliac (n = 16) and the external iliac (n = 6) artery after percutaneous transluminal angioplasty.
All interventions were performed with technical success. The mean ankle-brachial index (ABI) increased from 0.7 +/- 0.19 before to 0.86 +/- 0.16 at 24 hours after the procedure (Rutherford +3 [n = 18] and +2 [n = 3]); the ABI measured after 6 months was 0.89 +/- 0.16. The primary cumulative patency rate amounted to 91% (20/22) at 6 months. In two cases restenosis of 75% were observed, requiring repeated angioplasty.
The new balloon-expandable Bridge-stents achieve very good initial technical success and promising short-term patency in the percutaneous treatment of iliac occlusive disease.
确定新型球囊扩张式桥接支架治疗髂动脉闭塞和狭窄的成功率及通畅率。
1999年4月至10月期间，对21例外周动脉闭塞性疾病患者（22处病变）进行了治疗。其中20例为重度狭窄，2例为完全闭塞。在经皮腔内血管成形术后，将23枚球囊扩张式桥接支架植入髂总动脉（n = 16）和髂外动脉（n = 6）。
所有干预操作均取得技术成功。平均踝肱指数（ABI）从术前的0.7±0.19增加到术后24小时的0.86±0.16（卢瑟福分级为+3级[n = 18]和+2级[n = 3]）；6个月后测得的ABI为0.89±0.16。6个月时的初始累积通畅率为91%（20/22）。有2例观察到75%的再狭窄，需要重复血管成形术。
新型球囊扩张式桥接支架在经皮治疗髂动脉闭塞性疾病中取得了非常好的初始技术成功，并具有良好的短期通畅性。
