Train J S, Dan S J, Mitty H A, Dikman S H, Harrington E B, Miller C M, Jacobson J H
Department of Radiology, Mount Sinai Hospital, New York, NY.
Radiology. 1988 Jul;168(1):131-5. doi: 10.1148/radiology.168.1.2967986.
During transluminal dilation of the iliac artery, occlusion resulting from dissection occurred in four patients. In all four, the deteriorating clinical findings prompted surgical intervention. In three patients, Fogarty balloon catheters easily passed the occluded segments and specimens much the same as surgical endarterectomy specimens were retrieved. A clamp was used to retrieve the dissected portion of the vessel wall in the fourth patient. Three of four vessels have remained patent for 18 months, 18 months, and 6 months, respectively. One patient underwent bypass surgery 4 months after the occlusion episode for recurrent stenosis in a segment of vessel above the occluded segment, which had also been dilated during the same procedure. It is therefore possible in some cases to salvage vessels occluded during angioplasty, making it unnecessary to resort to aortofemoral or other type of bypass.
在髂动脉腔内扩张过程中，有4例患者因动脉夹层形成导致血管闭塞。在这4例患者中，临床症状的恶化促使进行手术干预。在3例患者中，Fogarty球囊导管很容易通过闭塞段，并取出了与外科动脉内膜切除术标本非常相似的标本。在第4例患者中，使用血管夹取出了血管壁的夹层部分。4条血管中有3条分别在18个月、18个月和6个月时保持通畅。1例患者在闭塞事件发生4个月后，因闭塞段上方一段血管出现复发性狭窄而接受了搭桥手术，该段血管在同一手术过程中也进行了扩张。因此，在某些情况下有可能挽救血管成形术期间闭塞的血管，从而无需进行主动脉股动脉或其他类型的搭桥手术。
