Michalis L K, Tsetis D K, Katsamouris A N, Rees M R, Sideris D A, Gourtsoyiannis N C
Department of Cardiology, University Hospital of Ioannina, Greece.
J Endovasc Ther. 2001 Dec;8(6):615-21. doi: 10.1177/152660280100800615.
To evaluate the safety and efficacy of vibrational angioplasty in chronic femoropopliteal arterial occlusions.
Six patients (5 men; ages 52 to 84 years) with peripheral arterial occlusive disease were treated percutaneously using vibrational angioplasty to recanalize the lesion. Three occlusions ranging from 10 to 15 cm long were in the superficial femoral artery (SFA), while 3 other diffusely diseased popliteal arteries were occluded distally (length from 3.5 to 4.5 cm). Vibrational angioplasty using coronary equipment was applied to assist passage of a coronary guidewire, which was followed by conventional angioplasty. Follow-up surveillance featured periodic physical examination, ankle brachial index measurements, and duplex scanning.
In all 6 cases, recanalization of the occlusions was successful and without complications. The time to cross the occlusions with the wire ranged from 20 to 25 minutes for the SFA lesions and from 4 to 10 minutes for the popliteal occlusions. Two SFA occlusions were treated with stent implantation. Over a follow-up of 3 to 9 months, all treated vessels were patent. In 3 patients with skin ulcers, healing of the ulcers was observed.
Vibrational angioplasty using coronary guidewires seems to be a promising ancillary technique in the management of chronic femoropopliteal arterial occlusions.
评估振动血管成形术治疗慢性股腘动脉闭塞症的安全性和有效性。
对6例（5例男性；年龄52至84岁）外周动脉闭塞性疾病患者经皮使用振动血管成形术使病变再通。3处长10至15厘米的闭塞位于股浅动脉（SFA），而另外3处弥漫性病变的腘动脉在远端闭塞（长度3.5至4.5厘米）。使用冠状动脉设备进行振动血管成形术以辅助冠状动脉导丝通过，随后进行传统血管成形术。随访监测包括定期体格检查、踝肱指数测量和双功扫描。
所有6例患者闭塞病变再通均成功且无并发症。导丝穿过SFA病变闭塞处的时间为20至25分钟，穿过腘动脉闭塞处的时间为4至10分钟。2处SFA闭塞病变进行了支架植入治疗。在3至9个月的随访中，所有治疗的血管均保持通畅。3例有皮肤溃疡的患者溃疡愈合。
使用冠状动脉导丝的振动血管成形术似乎是治疗慢性股腘动脉闭塞症的一种有前景的辅助技术。
