经皮腔内血管成形术在下肢动脉粥样硬化疾病中的作用。
The role of percutaneous transluminal angioplasty for atherosclerotic disease of the lower extremities.
作者信息
Mosley J G, Gulati S M, Raphael M, Marston A
出版信息
Ann R Coll Surg Engl. 1985 Mar;67(2):83-6.
A consecutive series of 62 patients (74 symptomatic limbs) were admitted with atherosclerotic disease of the legs in a 6-month period from 1st July 1982. All patients had an arteriogram under local anaesthetic the day after admission and if possible a transluminal balloon dilatation was performed. If dilatation failed an operation was performed the following day. Dilatation was successful in 13 of 23 lesions above the inguinal ligament and significantly improved the Doppler foot pressures from 84 to 120 mmHg. Dilatation was only successful in 17 of 51 lesions below the inguinal ligament and 40% of these had re-occluded within 6 months. Transluminal dilatation is an important advance for stenotic lesions of the distal aorta and iliacs but its place is limited for the more common lesions in the superficial femoral artery.
在1982年7月1日至6个月期间，连续收治了62例患者（74条有症状的肢体），均患有腿部动脉粥样硬化疾病。所有患者入院次日在局部麻醉下进行动脉造影，如有可能则进行经皮腔内球囊扩张术。如果扩张失败，则在次日进行手术。在腹股沟韧带上方的23处病变中，有13处扩张成功，多普勒足部压力从84 mmHg显著提高到120 mmHg。在腹股沟韧带下方的51处病变中，只有17处扩张成功，其中40%在6个月内再次闭塞。经皮腔内扩张术是远端主动脉和髂动脉狭窄病变的一项重要进展，但对于股浅动脉更常见的病变，其应用有限。
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