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经皮腔内血管成形术:抗凝和纤溶药物的重要性。

Percutaneous transluminal angioplasty: importance of anticoagulant and fibrinolytic drugs.

作者信息

Horváth L

出版信息

AJR Am J Roentgenol. 1980 Nov;135(5):951-4. doi: 10.2214/ajr.135.5.951.

DOI:10.2214/ajr.135.5.951
PMID:6160744
Abstract

At the Medical University of Pécs, Hungary, percutaneous transluminal angioplasty was performed on 252 lesions in 235 patients. Primary success rate was 75%. Long femoral artery occlusions were recanalized with a 66% patency rate in lesions 10-20 cm long and a 47% patency rate in lesions longer than 20 cm. These relatively high patency rates were attributed to the use of SP 54, a fibrinolytic agent. In a group of 52 patients treated with SP 54 there were only four reocclusions, two of these occurring 12 months after angioplasty when SP 54 was discontinued. It was concluded that long occlusions may be amenable to angioplasty provided that appropriate fibrinolytic therapy is instituted after the procedure.

摘要

在匈牙利佩奇医科大学,对235例患者的252处病变进行了经皮腔内血管成形术。初次成功率为75%。在长度为10 - 20厘米的病变中,长股动脉闭塞再通后的通畅率为66%,在长度超过20厘米的病变中通畅率为47%。这些相对较高的通畅率归因于使用了纤溶药物SP 54。在一组接受SP 54治疗的52例患者中,仅有4例再闭塞,其中2例发生在血管成形术后12个月停用SP 54时。得出的结论是,只要在手术后进行适当的纤溶治疗,长段闭塞可能适合血管成形术。

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引用本文的文献

1
Percutaneous transluminal angioplasty in peripheral vascular disease: a review.经皮腔内血管成形术治疗外周血管疾病:综述。
Can Fam Physician. 1982 Feb;28:291-4.
2
Management of angioplasty complications, unsuccessful procedures and early and late failures.血管成形术并发症、手术失败以及早期和晚期失败的处理
Ann Surg. 1984 Feb;199(2):234-40. doi: 10.1097/00000658-198402000-00017.