Wilms G E, Verhaeghe R H, Pouillon M M, Dewaele D, Baert A L, Vermylen J, Verstraete M
Department of Radiology, University of Leuven, Belgium.
Cardiovasc Intervent Radiol. 1987;10(5):272-5. doi: 10.1007/BF02578008.
The early and late results of local thrombolysis with low-dose streptokinase followed by balloon dilatation in 64 patients with an occluded femoropopliteal artery are reviewed. The primary success rate was 77% for the native arteries; it was higher (80%) for short (less than 10 cm) as compared with long occlusion (40%) and for patients with claudication as compared with those with advanced ischemia (89% versus 48%). Eleven complications were observed in 10 patients, most frequently a local hematoma at the puncture site. Ascending thrombosis and absence of lysis or incomplete lysis were the main reasons for failure. The cumulative patency rate after 1 and 2 years follow-up was 87% and 82%, respectively.
回顾了64例股腘动脉闭塞患者采用低剂量链激酶局部溶栓后行球囊扩张术的早期和晚期结果。原生动脉的主要成功率为77%；与长段闭塞（40%）相比，短段闭塞（小于10 cm）的成功率更高（80%），与重度缺血患者相比，间歇性跛行患者的成功率更高（89%对48%）。10例患者出现11种并发症，最常见的是穿刺部位局部血肿。上行性血栓形成以及未溶栓或溶栓不完全是失败的主要原因。随访1年和2年后的累积通畅率分别为87%和82%。
