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经皮髂动脉闭塞再通术:高危患者手术的替代方案

Percutaneous recanalization of iliac artery occlusions: an alternative to surgery in the high-risk patient.

作者信息

Pilla T J, Peterson G J, Tantana S, Lang E R, Wolverson M K

出版信息

AJR Am J Roentgenol. 1984 Aug;143(2):313-6. doi: 10.2214/ajr.143.2.313.

DOI:10.2214/ajr.143.2.313
PMID:6234784
Abstract

Percutaneous transluminal angioplasty was performed successfully in three patients with total occlusions involving the iliac artery. Two patients had occlusion of the external iliac artery and the third patient had occlusion of the common iliac artery. The vessels were still patent at 3-12 months after the procedure. One complication occurred involving a thrombus in the common femoral artery of the diseased leg. The thrombus was surgically removed under local anesthesia. In high-risk patients, percutaneous transluminal angioplasty of total iliac artery occlusions may represent a viable alternative to surgery.

摘要

三名髂动脉完全闭塞的患者成功接受了经皮腔内血管成形术。两名患者为髂外动脉闭塞,第三名患者为髂总动脉闭塞。术后3至12个月血管仍保持通畅。发生了一例并发症,病变侧股总动脉出现血栓。在局部麻醉下通过手术取出了血栓。对于高危患者,髂总动脉完全闭塞的经皮腔内血管成形术可能是一种可行的手术替代方案。

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引用本文的文献

1
Total occlusion of iliac arteries: results of balloon angioplasty.髂动脉完全闭塞:球囊血管成形术的结果
Cardiovasc Intervent Radiol. 1993 May-Jun;16(3):165-77. doi: 10.1007/BF02641886.
2
Percutaneous transluminal angioplasty: the surgeon's role.经皮腔内血管成形术:外科医生的作用。
World J Surg. 1988 Dec;12(6):788-97. doi: 10.1007/BF01655481.
3
Stent placement in iliac arterial lesions: three years of clinical experience with the Wallstent.髂动脉病变的支架置入:Wallstent三年临床经验
Cardiovasc Intervent Radiol. 1992 Sep-Oct;15(5):285-90. doi: 10.1007/BF02733952.