Erbstein R A, Wholey M H, Smoot S
Department of Radiological Sciences and Diagnostic Imaging, Shadyside Hospital, Pittsburgh, PA 15232.
AJR Am J Roentgenol. 1988 Aug;151(2):291-4. doi: 10.2214/ajr.151.2.291.
We present our experience with 24 patients in whom percutaneous transluminal angioplasty was performed in the proximal subclavian artery. Seventeen patients had symptoms of subclavian steal syndrome, and seven had symptoms of upper extremity ischemia. Eighteen (75%) had excellent clinical results, with 80-100% restoration of the expected lumen diameter. Three patients required repeat dilatation because of recurrent symptoms. The only complication was a single case of brachial artery occlusion. Our results suggest that subclavian artery angioplasty is a safe and effective method for treating subclavian artery steal syndrome and upper extremity ischemia.
我们介绍了对24例在锁骨下动脉近端进行经皮腔内血管成形术患者的治疗经验。17例患者有锁骨下动脉窃血综合征症状，7例有上肢缺血症状。18例（75%）患者取得了良好的临床效果，预期管腔直径恢复了80%至100%。3例患者因症状复发需要再次扩张。唯一的并发症是1例肱动脉闭塞。我们的结果表明，锁骨下动脉血管成形术是治疗锁骨下动脉窃血综合征和上肢缺血的一种安全有效的方法。
