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长段股腘动脉狭窄:血管成形术是福音还是灾难?

Long-segment femoropopliteal stenoses: is angioplasty a boon or a bust?

作者信息

Murray R R, Hewes R C, White R I, Mitchell S E, Auster M, Chang R, Kadir S, Kinnison M L, Kaufman S L

出版信息

Radiology. 1987 Feb;162(2):473-6. doi: 10.1148/radiology.162.2.2948213.

DOI:10.1148/radiology.162.2.2948213
PMID:2948213
Abstract

Analysis of 193 femoropopliteal angioplasties demonstrated patency rates in the stenotic group of 75.5% at 6 months and 54.4% at 54 months. The patency rates for the occlusive group were 93.7% at 6 months and 72.9% at 54 months; these rates were significantly better than those in patients with stenoses. A group of 14 patients with long-segment (greater than 7 cm) stenosis had the highest risk of early failure, with a 6-month patency of 23.1%. After removal of the long-segment stenosis group from the results, there were no significant differences between the long-term patencies for stenotic and occlusive lesions. If angioplasty of long stenoses is attempted, a high initial success rate but early failure should be anticipated.

摘要

对193例股腘动脉血管成形术的分析表明,狭窄组在6个月时的通畅率为75.5%,在54个月时为54.4%。闭塞组在6个月时的通畅率为93.7%,在54个月时为72.9%;这些比率明显优于狭窄患者的比率。一组14例长段(大于7 cm)狭窄患者早期失败风险最高,6个月通畅率为23.1%。从结果中剔除长段狭窄组后,狭窄性病变和闭塞性病变的长期通畅率无显著差异。如果尝试对长段狭窄进行血管成形术,应预期初始成功率高但早期会失败。

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