Temizkan Veysel, Uçak Alper, Alp İbrahim, Kardeşoğlu Ejder, Selçuk Arif, Can Murat Fatih, Uğur Murat, Yılmaz Ahmet Turan
Department of Cardiovascular Surgery, GATA Haydarpaşa Training Hospital, İstanbul, Turkey.
Department of Cardiology, GATA Haydarpaşa Training Hospital, İstanbul, Turkey.
Turk Gogus Kalp Damar Cerrahisi Derg. 2018 Apr 30;26(2):237-245. doi: 10.5606/tgkdc.dergisi.2018.13411. eCollection 2018 Apr.
This study aims to present our experiences on endovascular and hybrid treatment of peripheral arterial diseases.
Between March 2008 and April 2016, 86 patients who underwent endovascular treatment and 17 patients who underwent hybrid treatment for peripheral arterial disease in our clinic were retrospectively analyzed. The treatment approaches, success of treatments, complications and outcomes of these patients were studied.
No mortality was seen during the procedures. Following the procedure, the patients were hospitalized in the intensive care unit under standard heparin treatment for six hours at least. Anticoagulation was maintained with low-molecular-weighted heparin for three days, followed by dual oral antiaggregant (acetylsalicylic acid 100 mg + clopidogrel 75 mg). Repeated Doppler ultrasonography revealed no in-stent thrombosis or restenosis at the site of ballooning during hospitalization. None of the patients with normal renal functions preoperatively experienced severe renal failure. Although nearly all femorodistal interventions were performed in the antegrade way, none of the patients had bleeding complications at the site of intervention. All patients were discharged within 1 to 16 days.
Endovascular and hybrid modalities are safe and comfortable in the treatment of peripheral arterial diseases for vascular surgeons having a hybrid room.
本研究旨在介绍我们在外周动脉疾病血管内治疗和杂交治疗方面的经验。
回顾性分析2008年3月至2016年4月期间在我院接受外周动脉疾病血管内治疗的86例患者和杂交治疗的17例患者。研究了这些患者的治疗方法、治疗成功率、并发症及治疗结果。
手术过程中无死亡病例。术后，患者在重症监护病房接受标准肝素治疗至少6小时。用低分子肝素维持抗凝3天，随后给予双联口服抗血小板药物（阿司匹林100mg+氯吡格雷75mg）。住院期间重复多普勒超声检查显示球囊扩张部位无支架内血栓形成或再狭窄。术前肾功能正常的患者均未发生严重肾衰竭。尽管几乎所有股腘动脉介入治疗均采用顺行方式进行，但无一例患者在介入部位出现出血并发症。所有患者均在1至16天内出院。
对于拥有杂交手术室的血管外科医生而言，血管内治疗和杂交治疗在外周动脉疾病治疗中是安全且舒适的。
