Maouad J, Guermonprez J L
Division of Cardiology, American Hospital of Paris, Neuilly, France.
Cathet Cardiovasc Diagn. 1988;14(3):165-8. doi: 10.1002/ccd.1810140306.
A case of percutaneous transluminal angioplasty (PTA) from the groin to a 7-cm right brachial artery occlusion in a 41-year-old man, having previously undergone Sones coronary angiography 2 months earlier, is presented. The post-PTA angiogram shows near-normal reconstitution of the total obstruction, persisting after 6 months with complete loss of collateral circulation. In a case of total obstruction of the brachial artery, femoral PTA should be considered before resorting to surgical treatment.
本文介绍了一例经皮腔内血管成形术(PTA)治疗的病例。患者为一名41岁男性,右肱动脉有一段7厘米长的闭塞,此前两个月曾接受过索内斯冠状动脉造影。此次从腹股沟进行PTA治疗。PTA术后血管造影显示,完全阻塞处几乎恢复正常,6个月后仍保持这种状态,且侧支循环完全消失。对于肱动脉完全阻塞的病例,在采取手术治疗之前应考虑股动脉PTA。