Lorenzoni Roberto, Lisi Cristiano, Lorenzoni Giulia, Tessandori Laura, Bovenzi Francesco
Cardiovascular Department, San Luca Hospital, Lucca, Tuscany, Italy.
Cardiovascular Department, San Luca Hospital, Lucca, Tuscany, Italy.
Cardiovasc Revasc Med. 2018 Apr-May;19(3 Pt B):314-318. doi: 10.1016/j.carrev.2017.08.006. Epub 2017 Aug 18.
To report feasibility and safety of endovascular interventions on iliac and common femoral arteries, using the transradial access (TRA).
100 consecutive patients (19 women; mean age 71, range 37-90years) with critical limb ischemia (30%) or claudication, and TASC A-D lesions in iliac or common femoral arteries, were prospectively enrolled, from January 2013 to June 2015, to be treated via the TRA. Exclusion criteria included no palpable radial arteries (RA) and the presence of a fistula for hemodialysis. Patients were evaluated for procedural technical success, in-hospital complications, and 30days clinical success (defined as improvement of at least one grade in the Rutherford classification of symptoms).
A total of 131 iliac and common femoral arteries lesions were treated (58 in common iliac arteries, 38 in external iliac arteries and 35 in common femoral arteries). Ninety-two stents were deployed in 58 patients. Procedural technical success was achieved in 91% of the lesions; with 95% technical success rate in common iliac arteries, 87% in external iliac arteries and 89% in common femoral arteries; with 72% technical success rate in occlusions and 98% in stenosis. No in-hospital complications were observed. At 30days, 93 patients (93%) had an improvement of at least one category in the Rutherford classification of symptoms (clinical success rate 93%); 12 patients (12%) had an asymptomatic occlusion of the RA.
TRA can be used to treat iliac and common femoral arteries lesions with a high grade of technical success and a low rate of complications.
报告经桡动脉入路（TRA）对髂动脉和股总动脉进行血管内介入治疗的可行性和安全性。
2013年1月至2015年6月，前瞻性纳入100例连续患者（19例女性；平均年龄71岁，范围37 - 90岁），这些患者患有严重肢体缺血（30%）或间歇性跛行，且髂动脉或股总动脉存在TASC A - D级病变，拟通过TRA进行治疗。排除标准包括无法触及桡动脉（RA）以及存在血液透析瘘。对患者进行手术技术成功率、院内并发症及30天临床成功率（定义为症状的卢瑟福分类至少提高一个等级）的评估。
共治疗131处髂动脉和股总动脉病变（58处髂总动脉、38处髂外动脉和35处股总动脉）。58例患者植入了92枚支架。91%的病变获得手术技术成功；髂总动脉技术成功率为95%，髂外动脉为87%，股总动脉为89%；闭塞病变技术成功率为72%，狭窄病变为98%。未观察到院内并发症。30天时，93例患者（93%）症状的卢瑟福分类至少提高了一个等级（临床成功率93%）；12例患者（12%）出现RA无症状闭塞。
TRA可用于治疗髂动脉和股总动脉病变，技术成功率高且并发症发生率低。
