Buianov V M, Ovchinninskiĭ M N, Limar' L A, Turgiev B G
Sov Med. 1991(10):22-5.
The authors analyze the results of 143 ++roentgeno-endovascular dilatations (RED) made in 89 patients during 1986-1990. RED of stenoses and occlusions of the iliac and femoral arteries over a length of less than 10 cm is feasible practically in all the patients. This intervention is safe and well tolerated by patients. As for RED of occlusions of the femoral arteries over a length of more than 15 cm beginning from the arterial ostium, the authors recommend that a popliteal access to the femoral artery be employed. Otherwise the passage of the occlusion area in the antegrade direction is impossible. At the same time in order to prevent thromboembolic complications, it is necessary to carry out intra- and postoperative anticoagulant therapy. Extended occlusions of the femoral arteries can be subjected to RED in cases where calcinosis of the arteries and thrombotic component are lacking in occlusion. RED of renal artery stenosis can be used as a method of choice in the treatment of vasorenal hypertension. RED is likely to be used for the management of stenoses of unpaired visceral arteries.
作者分析了1986年至1990年期间对89例患者进行的143次++X线血管内扩张术（RED）的结果。对于长度小于10厘米的髂动脉和股动脉狭窄及闭塞，实际上对所有患者都可行RED。这种干预是安全的，患者耐受性良好。至于从动脉开口开始长度超过15厘米的股动脉闭塞的RED，作者建议采用经腘动脉入路至股动脉。否则，不可能顺行通过闭塞区域。同时，为防止血栓栓塞并发症，有必要进行术中和术后抗凝治疗。在闭塞部位缺乏动脉钙化和血栓形成成分的情况下，股动脉的广泛闭塞可进行RED。肾动脉狭窄的RED可作为治疗肾血管性高血压的首选方法。RED可能用于治疗不成对内脏动脉的狭窄。
