Martin E C, Fankuchen E I, Karlson K B, Dolgin C, Collins R H, Voorhees A B, Casarella W J
AJR Am J Roentgenol. 1981 Nov;137(5):915-9. doi: 10.2214/ajr.137.5.915.
Forty-six patients with superficial femoral artery occlusions (range, 1-20 cm) had percutaneous transluminal angioplasty. The primary success rate was 76% with a late closure in six patients. Life table analysis showed a 1 year patency of 56.8%, maintained at 2 years among the group in whom the successful was 4 cm, while in those in whom the lesion was not crossed, it was 9 cm. Over the same period, 133 femoropopliteal bypass grafts were performed. The patients were comparable as to runoff, incidence of diabetes, and distal ischemia. The 1 year patency was 60.2% and the 2 year patency, 42.1%, largely because of the poor performance of grafts other than saphenous vein. Angioplasty seems to be the treatment of choice for short segment occlusions, and should be used in longer occlusions if saphenous vein is not going to be used.
46例股浅动脉闭塞(范围1 - 20厘米)患者接受了经皮腔内血管成形术。初始成功率为76%,6例患者出现迟发性闭塞。生命表分析显示1年通畅率为56.8%,在成功治疗病变长度为4厘米的患者组中,2年通畅率仍保持这一水平,而在病变未被跨越的患者组中,病变长度为9厘米。同期,进行了133例股腘动脉搭桥术。患者在血流情况、糖尿病发病率和远端缺血方面具有可比性。1年通畅率为60.2%,2年通畅率为42.1%,主要原因是除大隐静脉以外的移植物表现不佳。血管成形术似乎是短节段闭塞的首选治疗方法,如果不打算使用大隐静脉,对于长节段闭塞也应采用该方法。