Vorwerk D, Guenther R W
Department of Diagnostic Radiology, Technical University of Aachen, Federal Republic of Germany.
Radiology. 1990 May;175(2):411-5. doi: 10.1148/radiology.175.2.2139231.
Self-expandable endoprostheses were used to restore the vascular lumen following mechanical recanalization of iliac occlusions without preceding thrombolytic therapy. During a 24-month period 48 of 68 occlusions were successfully recanalized. The vessel lumen was restored with the combined use of dilation with an "undersized" balloon and subsequent stent insertion. Early reocclusion occurred in two patients; the patency rate at 6 months was 93.3% (28 of 30 patients). Restenosis prompted repeat intervention in two patients. Percutaneous transluminal angioplasty combined with the use of self-expandable stents is a promising alternative to vascular surgery, although techniques for safely crossing the occluded segment require further improvement.
在未进行溶栓治疗的情况下，使用自膨式腔内支架修复髂动脉闭塞机械再通后的血管腔。在24个月期间，68处闭塞中有48处成功再通。通过使用“小号”球囊扩张并随后植入支架，恢复了血管腔。两名患者发生早期再闭塞；6个月时的通畅率为93.3%（30例患者中的28例）。两名患者因再狭窄而需要再次干预。经皮腔内血管成形术联合使用自膨式支架是血管手术的一种有前景的替代方法，尽管安全穿过闭塞段的技术仍需进一步改进。
