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髂动脉闭塞:采用血栓内链激酶输注和血管成形术进行治疗

Iliac artery occlusion: management with intrathrombus streptokinase infusion and angioplasty.

作者信息

Auster M, Kadir S, Mitchell S E, Williams G M, Perler B A, Chang R, White R I

出版信息

Radiology. 1984 Nov;153(2):385-8. doi: 10.1148/radiology.153.2.6237386.

DOI:10.1148/radiology.153.2.6237386
PMID:6237386
Abstract

Chronic and acute unilateral iliac artery occlusions were successfully treated in 7 of 8 patients using low-dose intrathrombus streptokinase infusions ranging from 6 to 43 hours in combination with percutaneous transluminal angioplasty. Angioplasty of an underlying stenosis was performed as soon as clot lysis was maximal and an underlying stenosis was demonstrated. Long-term follow-up to date has been excellent. This approach to unilateral iliac occlusion appears to be safer than previously reported angioplasty of iliac artery occlusion.

摘要

8例患者中有7例成功治疗了慢性和急性单侧髂动脉闭塞,采用低剂量血栓内链激酶输注6至43小时,并结合经皮腔内血管成形术。一旦血栓溶解达到最大程度并显示存在潜在狭窄,即对潜在狭窄进行血管成形术。迄今为止的长期随访结果良好。这种治疗单侧髂动脉闭塞的方法似乎比先前报道的髂动脉闭塞血管成形术更安全。

相似文献

1
Iliac artery occlusion: management with intrathrombus streptokinase infusion and angioplasty.髂动脉闭塞:采用血栓内链激酶输注和血管成形术进行治疗
Radiology. 1984 Nov;153(2):385-8. doi: 10.1148/radiology.153.2.6237386.
2
[A complication and angioplasty: successful catheter lysis of an occlusion of the external iliac artery].[一种并发症与血管成形术:成功通过导管溶解髂外动脉闭塞]
Rofo. 1988 Jul;149(1):101-2. doi: 10.1055/s-2008-1048305.
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Treatment of acute peripheral arterial and graft thromboses with low-dose streptokinase.低剂量链激酶治疗急性外周动脉及移植物血栓形成
Surgery. 1982 Dec;92(6):981-93.
4
Regional low dosage thrombolytic therapy for peripheral arterial occlusions.
Surg Gynecol Obstet. 1983 Feb;156(2):148-54.
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[Percutaneous transluminal angioplasty of iliac occlusions].[经皮腔内髂动脉闭塞血管成形术]
Ugeskr Laeger. 1995 May 22;157(21):3042-5.
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Treatment of advanced vascular disease with intra-arterial thrombolytic therapy followed by arterial dilatation.采用动脉内溶栓治疗,随后进行动脉扩张,以治疗晚期血管疾病。
Angiology. 1983 Aug;34(8):527-34. doi: 10.1177/000331978303400804.
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Percutaneous recanalization of iliac artery occlusions: results of a prospective study.髂动脉闭塞的经皮再通:一项前瞻性研究的结果
Radiology. 1993 Nov;189(2):536-40. doi: 10.1148/radiology.189.2.8210387.
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Angioplasty with streptokinase infusion of a totally occluded Dacron femoropopliteal graft.对完全闭塞的涤纶股腘动脉移植物进行血管成形术并注入链激酶。
Cardiovasc Intervent Radiol. 1984;7(1):18-20. doi: 10.1007/BF02552670.
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[Systemic lysis in subacute arterial occlusion].[亚急性动脉闭塞中的全身溶解]
Langenbecks Arch Chir Suppl II Verh Dtsch Ges Chir. 1990:417-20.
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Catheter-lysis: indications and primary results.导管溶栓术:适应证及初步结果
Int Angiol. 1985 Jan-Mar;4(1):117-23.

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
Surgical and percutaneous management of contralateral thrombus dislodgement following stent placement and dilatation of iliac artery occlusions: technical note.髂动脉闭塞支架置入及扩张术后对侧血栓脱落的手术及经皮处理:技术说明
Cardiovasc Intervent Radiol. 1991 Mar-Apr;14(2):134-6. doi: 10.1007/BF02577714.