Rousseau H, Joffre F, Raillat C, Boccalon H, Roux D, Dalous P, Glock Y
Service Central de Radiologie, CHU Rangueil, Toulouse.
Ann Cardiol Angeiol (Paris). 1989 Oct;38(8):455-9.
An endovascular support inserted percutaneously, may represent an attractive solution to prevent early obstructions and recurrent stenoses after angioplasty (ATP). 23 iliac lesions and 40 femoro-popliteal lesions, symptomatic in 55 patients, were treated with endoprostheses of the Wallstent type. For the iliac implantations, it concerned in one case a recurrence after endarterectomy, 13 cases of recurrent stenoses after ATP and 9 cases of immediate failure of the angioplasty. The mean length of the lesions under treatment was 8 cm (extreme values between 4 and 14 cm). For the femoro-opoliteal arteries, the implants concerned lesions ranging between 3 and 7 cm, in 75 p. cent of the cases, and lesions exceeding 7 cm in 25 p. cent of the cases. Three iliac thromboses and six femoro-popliteal thromboses were reported at the beginning of this study; on the contrary, no thrombosis is present in the last 18 patients treated with oral anticoagulants. The rate of recurrent stenosis is low (none at the iliac level and 10 p. cent at the femoro-popliteal level); in all other cases an excellent clinical result was obtained with a mean follow-up of 18 months.
经皮插入的血管内支架可能是预防血管成形术后早期阻塞和再狭窄的一种有吸引力的解决方案。对55例有症状的23处髂血管病变和40处股腘血管病变采用Wallstent型血管内假体进行治疗。对于髂血管植入，其中1例为动脉内膜切除术后复发，13例为血管成形术后再狭窄，9例为血管成形术即刻失败。治疗病变的平均长度为8厘米（极值在4至14厘米之间）。对于股腘动脉，75%的病例植入的病变范围在3至7厘米之间，25%的病例病变超过7厘米。在本研究开始时报告了3例髂血管血栓形成和6例股腘血管血栓形成；相反，在最后18例接受口服抗凝剂治疗的患者中未出现血栓形成。再狭窄率较低（髂血管水平无再狭窄，股腘血管水平为10%）；在所有其他病例中，平均随访18个月，均获得了优异的临床结果。
