Reilly D T, Packer S G, Morrison N, van Rij A M
Department of Surgery, University of Otago Medical School, Dunedin.
N Z Med J. 1988 Mar 23;101(842):129-32.
A consecutive series of 60 percutaneous transluminal angioplasties has been performed in 53 patients with severe peripheral ischaemia over a 4 year period. There were 78 lesions dilated with an initial technical success rate of 78%. Forty-eight lesions were dilated for severe claudication and 30 for rest pain or necrosis. There was a mean followup of 24 months (range 9-56) for the immediately successful angioplasties. When these were analysed according to symptomatic relief, 59% of claudicants with iliac lesions were still improved at 2 years, compared with 86% of those with femoropopliteal lesions. Amongst patients treated for rest pain or necrosis there was a 100% success rate at 2 years for iliac lesions, compared with 49% for femoropopliteal lesions. The overall success of this procedure in this high risk group is reflected by the fact that at 2 years 85% of claudicants and 72% of those with rest pain and necrosis have avoided any further procedure. This encouraging early experience confirms the place of interventional radiology in the management of peripheral vascular disease.
在4年期间，对53例严重外周缺血患者连续进行了60次经皮腔内血管成形术。共扩张了78处病变，初始技术成功率为78%。48处病变因严重间歇性跛行而扩张，30处病变因静息痛或坏死而扩张。对即刻成功的血管成形术患者进行了平均24个月（9 - 56个月）的随访。根据症状缓解情况进行分析时，2年后，髂部病变的间歇性跛行患者中有59%仍有改善，而股腘部病变患者的这一比例为86%。在因静息痛或坏死接受治疗的患者中，2年后髂部病变的成功率为100%，而股腘部病变为49%。该手术在这一高危组中的总体成功率体现在，2年后，85%的间歇性跛行患者以及72%有静息痛和坏死的患者避免了任何进一步的手术。这一令人鼓舞的早期经验证实了介入放射学在外周血管疾病管理中的地位。
