Lu C T, Zarins C K, Yang C F, Sottiurai V
AJR Am J Roentgenol. 1982 Jan;138(1):119-22. doi: 10.2214/ajr.138.1.119.
In cases of occlusion of the superficial femoral artery exceeding a length of 10 cm, accompanied by involvement of the popliteal artery and poor runoff, percutaneous transluminal angioplasty is unfavorable. However, when such advanced occlusive disease is present in patients for whom vascular surgery is not feasible, this technique can be of value by averting or at least postponing amputation. Percutaneous transluminal angioplasty was used to recanalize long segments (10-36 cm) of occluded or stenotic femoropopliteal arteries in 21 patients. Results were evaluated by means of pre- and postangioplasty arteriograms and measurements of pressure indices. The initial success rate was 76%; the success rate on 5-24 month follow-up was 67%. The long-term benefit can be improved by other measures, such as stopping cigarette smoking, exercise, long-term anticoagulation therapy, and early detection and treatment of restenosis.
在股浅动脉闭塞长度超过10厘米、伴有腘动脉受累且血流减少的病例中，经皮腔内血管成形术并不适宜。然而，当这种晚期闭塞性疾病出现在无法进行血管手术的患者中时，该技术通过避免或至少推迟截肢可能具有价值。对21例患者采用经皮腔内血管成形术使闭塞或狭窄的股腘动脉长段（10 - 36厘米）再通。通过血管成形术前和术后动脉造影以及压力指数测量来评估结果。初始成功率为76%；5 - 24个月随访时的成功率为67%。长期获益可通过其他措施改善，如戒烟、运动、长期抗凝治疗以及早期发现和治疗再狭窄。
