Hewes R C, White R I, Murray R R, Kaufman S L, Chang R, Kadir S, Kinnison M L, Mitchell S E, Auster M
AJR Am J Roentgenol. 1986 May;146(5):1025-9. doi: 10.2214/ajr.146.5.1025.
Short-term results of superficial femoral artery and popliteal percutaneous transluminal angioplasty have been good, but long-term results and factors influencing long-term patency are less commonly reported. One hundred thirty-seven superficial femoral artery angioplasties with follow-up for 54 months were reviewed. The 4-year patency for stenoses was 61% and for occlusions was 68%. If the initial result was clinically successful, the 4-year patency was not influenced by the quality or patency of runoff or by the length of the occlusion. Nineteen patients returned for redilatation, eight of whom had developed new lesions. Patency was adversely affected in patients with diabetes or with long-segment stenoses. Modifications of equipment and technique that may improve long-term patency rates are discussed.
股浅动脉和腘动脉经皮腔内血管成形术的短期效果良好，但长期效果以及影响长期通畅率的因素较少被报道。回顾了137例股浅动脉血管成形术，随访时间为54个月。狭窄病变的4年通畅率为61%，闭塞病变的4年通畅率为68%。如果初始结果在临床上成功，4年通畅率不受流出道质量或通畅情况或闭塞长度的影响。19例患者返回进行再次扩张，其中8例出现了新病变。糖尿病患者或长节段狭窄患者的通畅率受到不利影响。讨论了可能提高长期通畅率的设备和技术改进。
