Smith J C, Watkins G E, Taylor F C, Carlson L A, Karst J G, Smith D C
Department of Radiology, Loma Linda University Medical Center, 11234 Anderson Street, Loma Linda, California 92354, USA.
J Vasc Interv Radiol. 2001 Dec;12(12):1395-8. doi: 10.1016/s1051-0443(07)61696-0.
To determine if protection of the contralateral common iliac artery is necessary when performing angioplasty or stent placement in a proximal common iliac artery.
A retrospective review of all patients undergoing endovascular treatment for unilateral common iliac artery stenosis or occlusion from 1979 to 2000 was performed. All angiograms were reviewed independently by three experienced vascular interventional radiologists who evaluated both common iliac arteries before and after angioplasty or stent placement.
The medical records or angiograms of 514 patients were located. Of these, complete records and angiograms were found for 175 patients who underwent proximal (within 2 cm of its origin) common iliac artery angioplasty or stent placement without treatment or protection of the contralateral common iliac artery. Treatment of proximal common iliac stenosis in 160 patients resulted in luminal compromise of the contralateral common iliac in two patients (17% and 24% reduction in luminal diameter). No contralateral compromise was noted in 15 patients treated for iliac occlusion.
The data reported herein suggest that protection of the contralateral common iliac artery during angioplasty or stent placement in a proximal common iliac artery is not mandatory.
确定在对一侧髂总动脉近端进行血管成形术或支架置入术时，对侧髂总动脉是否需要保护。
对1979年至2000年期间接受单侧髂总动脉狭窄或闭塞血管内治疗的所有患者进行回顾性研究。所有血管造影片均由三位经验丰富的血管介入放射科医生独立复查，他们在血管成形术或支架置入术前和术后评估双侧髂总动脉。
找到514例患者的病历或血管造影片。其中，175例患者有完整的记录和血管造影片，这些患者接受了一侧髂总动脉近端（距其起始处2厘米以内）血管成形术或支架置入术，而对侧髂总动脉未进行治疗或保护。160例接受近端髂总动脉狭窄治疗的患者中，有2例（管腔直径分别减少17%和24%）出现对侧髂总动脉管腔受压。15例接受髂总动脉闭塞治疗的患者未发现对侧受压。
本文报道的数据表明，在对一侧髂总动脉近端进行血管成形术或支架置入术时，对侧髂总动脉并非必须保护。
