[超声血管成形术在治疗完全闭塞性外周动脉中的应用：39例临床研究]

[Application of ultrasonic angioplasty in treating totally occluded peripheral arteries, a clinical study of 39 cases].

作者信息

Jiang Hong, Feng Bo, Li Cheng-yang, Qian Jun, Yang Xiao-feng, Fan Shi-gang, Qin Hou-fang, Pang Jian

机构信息

Department of Surgery, NO 463 Hospital of People's Liberation Army, Shengyang 110042, China.

出版信息

Zhonghua Yi Xue Za Zhi. 2003 May 25;83(10):837-40.

PMID:12895334

Abstract

OBJECTIVE

To evaluate the efficacy and safety of intravascular ultrasonic angioplasty in treating atherosclerotic totally occluded peripheral arteries.

METHODS

Percutaneous ultrasonic angioplasty was applied on 39 cases with peripheral atherosclerotic total occlusion under fluoroscopic guidance. The recanalization, clinical efficacy and complications were observed.

RESULTS

38 (97.4%) of the 39 cases achieved successful recanalization in (1157 +/- 376) seconds, with a mean residual stenosis of (32 +/- 11)%. The technical successful rate (residual stenosis < 50%) was 82.1% (32/39). Clinical improvement at different degrees was seen in 38 cases after ultrasonic angioplasty. The patency rates 24 hours, 30 days, 90 days and 180 days after the ultrasonic angioplasty were 100%, 94.7%, 89.5% and 81.6% respectively. The complications related to ultrasonic angioplasty included hemoglobinuria in 9 cases and distal embolization in 1 case.

CONCLUSION

Ultrasonic angioplasty appears to be safe and effective for the treatment of atherosclerotic totally occluded peripheral arteries.

摘要

目的

评估血管内超声血管成形术治疗动脉粥样硬化所致外周动脉完全闭塞的有效性和安全性。

方法

在透视引导下，对39例外周动脉粥样硬化完全闭塞患者实施经皮超声血管成形术。观察再通情况、临床疗效及并发症。

结果

39例患者中38例（97.4%）在（1157±376）秒内成功再通，平均残余狭窄率为（32±11）%。技术成功率（残余狭窄<50%）为82.1%（32/39）。超声血管成形术后38例患者有不同程度的临床改善。超声血管成形术后24小时、30天、90天和180天的通畅率分别为100%、94.7%、89.5%和81.6%。与超声血管成形术相关的并发症包括9例血红蛋白尿和1例远端栓塞。