Carlier C, Foucart H, Baudrillard J C, Joffre F, Cécile J P
Département d'Imagerie Médicale, Centre Hospitalier, Lens.
J Mal Vasc. 1990;15(3):224-8.
A well-mastered technique will cause percutaneous transluminal angioplasty of iliac arteries to achieve long-term results comparable to those obtained surgically. In isolated iliac stenosis, a 95% good result rate is attained (81% cured, 14% improved). More complex cases of iliac stenosis yield 90% good results (72% cure), with a mean Doppler ankle/arm pressure index gain of 0.5 point in a series including 673 patients at 5 years follow-up. Only the presence of combined distal femoral lesions may cause the good result score to drop to 85%, including merely 35% cure. General complications are practically lacking and local complications are minimal, which incites one to propose this technique as a first-line treatment of iliac stenosis whenever distal blood circulation is maintained.
一项熟练掌握的技术将使髂动脉经皮腔内血管成形术取得与手术相当的长期效果。在单纯髂动脉狭窄病例中，良好效果率可达95%（81%治愈，14%改善）。更复杂的髂动脉狭窄病例良好效果率为90%（72%治愈），在一项包括673例患者的系列研究中，5年随访时平均多普勒踝/臂压力指数升高0.5个点。只有合并股动脉远端病变时，良好效果评分可能降至85%，其中仅35%治愈。几乎没有全身并发症，局部并发症也极少，这促使人们建议，只要远端血液循环得以维持，就将该技术作为髂动脉狭窄的一线治疗方法。
