采用术中髂动脉腔内血管成形术进行股腘动脉重建治疗重度间歇性跛行：联合治疗方法的结果

Femoropopliteal arterial reconstruction with intraoperative iliac transluminal angioplasty for disabling claudication: results of a combined approach.

作者信息

van der Vliet J A, Mulling F J, Heijstraten F M, Reinaerts H H, Buskens F G

机构信息

Department of Surgery, St Radboud University Hospital, Nijmegen, The Netherlands.

出版信息

Eur J Vasc Surg. 1992 Nov;6(6):607-9. doi: 10.1016/s0950-821x(05)80836-9.

DOI:10.1016/s0950-821x(05)80836-9

PMID:1451815

Abstract

Seventeen patients with disabling claudication resulting from multilevel arteriosclerotic disease were treated by combined intraoperative iliac transluminal angioplasty and femoropopliteal arterial reconstruction. Clinical improvement or total relief of ischaemic symptoms was observed in 15 out of 17 patients. Iliac pressure gradients were reduced with balloon dilatation to < 2 mmHg in all cases. The mean (+/- S.D.) resting ankle-brachial systolic pressure index increased from 0.42 +/- 0.14 to 0.87 +/- 0.21. Complications from intraoperative angioplasty were not encountered and no early graft failures were seen. The primary actuarial graft patency at 1, 2 and 5 years was 100, 88 and 67%, respectively. Combined intraoperative iliac transluminal angioplasty and femoropopliteal arterial reconstruction is a useful alternative to conventional surgical revascularisation in the treatment of selected patients with disabling claudication in the presence of multilevel arteriosclerotic disease.

摘要

17例因多节段动脉硬化疾病导致致残性间歇性跛行的患者接受了术中髂动脉腔内血管成形术与股腘动脉重建术联合治疗。17例患者中有15例临床症状改善或缺血症状完全缓解。所有病例经球囊扩张后髂动脉压力梯度均降至<2 mmHg。静息时踝肱收缩压指数平均（±标准差）从0.42±0.14升至0.87±0.21。术中血管成形术未出现并发症，也未见早期移植物失败。1年、2年和5年的原发性移植血管实际通畅率分别为100%、88%和67%。对于存在多节段动脉硬化疾病的致残性间歇性跛行的特定患者，术中髂动脉腔内血管成形术与股腘动脉重建术联合治疗是传统外科血管重建术的一种有效替代方法。