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髂总动脉完全闭塞的腔内血管成形术。

Transluminal angioplasty of complete iliac obstructions.

作者信息

Colapinto R F, Stronell R D, Johnston W K

出版信息

AJR Am J Roentgenol. 1986 Apr;146(4):859-62. doi: 10.2214/ajr.146.4.859.

DOI:10.2214/ajr.146.4.859
PMID:2937277
Abstract

Of 64 complete iliac obstructions, 50 (78%) were recanalized using the Gruntzig balloon catheter. Life-table analysis of the patency rate over a 4-year period gives a cumulative success rate of 78%. Only three of eight obstructions that involved both the common and external iliac arteries were successfully dilated. The only serious complication was distal embolization, which occurred in two cases (3.1%). Although the procedure is difficult, with a relatively low technical success rate, the high cumulative patency rate should make it an option in the treatment of all patients with totally occluded iliac artery segments.

摘要

在64例完全性髂动脉闭塞病例中,50例(78%)使用Gruntzig球囊导管实现了再通。对4年期间通畅率的生存分析得出累积成功率为78%。累及髂总动脉和髂外动脉的8例闭塞中仅有3例成功扩张。唯一严重的并发症是远端栓塞,发生了2例(3.1%)。尽管该手术操作困难,技术成功率相对较低,但高累积通畅率应使其成为所有髂动脉节段完全闭塞患者治疗的一种选择。

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