Korogi Y, Takahashi M, Bussaka H, Miyawaki M, Yamashita Y
Department of Radiology, Kumamoto University, School of Medicine, Japan.
Radiat Med. 1987 May-Jun;5(3):68-74.
Percutaneous transluminal angioplasty has been widely used for dilatation and recanalization of occluded or stenosed vessels, but clinical experience in Japan is not extensive. Follow-ups of 78 ilio-femoro-popliteal angioplasties were performed for up to 51 months to assess the initial and long-term results. The initial technical success rate was 91%. The three-year cumulative patency rate was 75%. This study demonstrates that the long-term results of PTA of ilio-femoro-popliteal arterial lesions are competitive with reconstructive surgery. PTA should be the treatment of choice in patients with atherosclerotic narrowing or occlusion of the lower extremities.
经皮腔内血管成形术已广泛用于闭塞或狭窄血管的扩张和再通，但在日本的临床经验并不丰富。对78例髂股腘血管成形术进行了长达51个月的随访，以评估其初始和长期效果。初始技术成功率为91%。三年累积通畅率为75%。本研究表明，髂股腘动脉病变的经皮腔内血管成形术的长期效果与重建手术相当。经皮腔内血管成形术应成为下肢动脉粥样硬化性狭窄或闭塞患者的首选治疗方法。
