Sawada S, Fujiwara Y, Koyama T, Tanabe Y, Saito S, Tsutsumi S, Mizukawa K, Katsube Y, Morioka N, Senda T
Department of Radiology, Tottori University School of Medicine.
Nihon Igaku Hoshasen Gakkai Zasshi. 1991 Jan 25;51(1):9-18.
Gianturco expandable metallic stents were successfully placed in 4 patients with arterial occlusive disease: aortic obstruction or stenosis due to aortitis (n = 2), dissecting aneurysm (n = 1) and arteriosclerotic obstruction of the iliac artery (n = 1). The length of lesion was from 2 to 15 cm. In one case of aortitis (case 1), eleven stents (5 and 6 stents in tandem connected by wire struts) were inserted through a 12 F Teflon sheath. In another aortitis case (case 2) 4 stents in tandem were inserted through a 10 F sheath. In the two cases the sheaths were introduced by femoral arteriotomy. In case 3 and 4 two or four stents in tandem were placed through a 8 F long sheath which was introduced via the femoral artery by Seldinger method. Symptoms disappeared after placement of stents in all four cases. Our results showed the usefulness of expandable metallic stents in the treatment of arterial occlusive diseases.
Gianturco可扩张金属支架成功应用于4例动脉闭塞性疾病患者:因大动脉炎导致的主动脉梗阻或狭窄(2例)、夹层动脉瘤(1例)以及髂动脉硬化性梗阻(1例)。病变长度为2至15厘米。在1例大动脉炎患者(病例1)中,通过一个12F的聚四氟乙烯鞘管插入了11个支架(5个和6个支架通过金属丝支柱串联连接)。在另一例大动脉炎患者(病例2)中,通过一个10F鞘管串联插入了4个支架。在这两例中,鞘管均通过股动脉切开术引入。在病例3和病例4中,通过一个8F长鞘管串联放置了2个或4个支架,该鞘管通过Seldinger法经股动脉引入。在所有4例中,支架置入后症状均消失。我们的结果表明可扩张金属支架在治疗动脉闭塞性疾病中具有实用性。