Chen M
Third Hospital of Beijing Medical University.
Zhonghua Xin Xue Guan Bing Za Zhi. 1990 Apr;18(2):94-5, 126-7.
Percutaneous transluminal atherectomy (ATH) can remove the obstructing atheromatous material and may overcome the limitations of balloon angioplasty for the treatment of occlusive peripheral vascular disease. This is the first case reported in China using the Simpson rotational atherectomy device in a patient with total occlusion of left superficial femoral artery. The significant improvement in lumen was achieved by removing a tissue specimen of 14 x 4 x 3 mm3 followed by a balloon angioplasty, which reduced the residual luminal narrowing further from 50% to 20%. No acute complication was found and the patient was discharged from hospital one week after the procedure. Our results suggests that the ATH might be an effective and safe treatment for occlusive peripheral vascular disease.
经皮腔内斑块旋切术（ATH）可清除阻塞性粥样物质，可能克服球囊血管成形术在治疗闭塞性外周血管疾病方面的局限性。这是中国首例使用Simpson旋切装置治疗左股浅动脉完全闭塞患者的病例。通过切除一块14×4×3立方毫米的组织标本，随后进行球囊血管成形术，管腔得到显著改善，残余管腔狭窄从50%进一步降至20%。未发现急性并发症，患者术后一周出院。我们的结果表明，ATH可能是治疗闭塞性外周血管疾病的一种有效且安全的方法。
