Rominger M B, Rauber K, Matthes B, Schulz A, Rau W S
Zentrum für Radiologie, Röntgenabteilung Innere Medizin, Justus-Liebig-Universität, Giessen.
Rofo. 1991 Mar;154(3):310-4. doi: 10.1055/s-2008-1033138.
15 completely occluded iliac arteries (five cases over 10 cm, 8 cases between 5 and 10 cm and two cases below 5 cm) were reviewed for their interventional management, technical results and complications. The procedure was successful in 14 of 15 cases (93%). In six cases we performed local thrombolysis before PTA. In the patient group with "only PTA" the treatment had to be abandoned in one case because of the risk of embolism. Two patients suffered from a distal embolism of the same side and one patient from an ipsi- and contralateral embolism. A stent implantation was necessary in one patient. In the group of patients with prior local thrombolysis there was no complication nor was there an indication for a stent-implantation. Hence, we conclude that a primary local lysis with a consecutive PTA is an appropriate treatment of complete long occlusions of the iliac artery.
对15条完全闭塞的髂动脉（5例超过10厘米，8例在5至10厘米之间，2例低于5厘米）进行了介入治疗、技术结果及并发症方面的回顾。15例中有14例手术成功（93%）。6例在经皮腔内血管成形术（PTA）前进行了局部溶栓。在“仅行PTA”的患者组中，1例因有栓塞风险而不得不放弃治疗。2例患者发生同侧远端栓塞，1例患者发生同侧及对侧栓塞。1例患者需要植入支架。在先行局部溶栓的患者组中，无并发症发生，也无植入支架的指征。因此，我们得出结论，先行局部溶栓继而进行PTA是治疗髂动脉完全长段闭塞的一种合适方法。
