Simonetti G, Rossi P, Passariello R, Salvatori F
Radiol Med. 1980 May;66(5):335-44.
Transluminal angioplasty represents an alternative to operation in treatment of arteriosclerotic stenosing and obstructive lesions. The authors report their experience since 1973 with 64 cases treated in the iliac, femoral or popliteal region and 2 cases of stenosis of the renal artery. Arterial tract may be dilated or recanalized depending on stage of the lesion. Patient's follow up with angiography and flow controls showed 70% of success for dilatation and 60% for recanalization at 5 and 4 years respectively. The rate of success and low incidence of complications are particularly encouraging and suggest this type of treatment not only for inoperable high risk patients but also as an elective procedure in well selected patients. Moreover technical facilities and skill of the operator may extend the applicability of angioplasty to treatment of other stenosed segments at the level of renal, coronary and visceral arteries and of iliac veins.
腔内血管成形术是治疗动脉硬化性狭窄和阻塞性病变的一种手术替代方法。作者报告了自1973年以来他们治疗64例髂动脉、股动脉或腘动脉区域病变以及2例肾动脉狭窄病例的经验。根据病变阶段,动脉通道可扩张或再通。对患者进行血管造影和血流控制随访显示,扩张术在5年时成功率为70%,再通术在4年时成功率为60%。成功率高且并发症发生率低,这尤其令人鼓舞,表明这种治疗方法不仅适用于手术风险高的无法手术患者,也适用于精心挑选的患者的择期手术。此外,技术设备和操作者的技能可能会扩大血管成形术在肾动脉、冠状动脉、内脏动脉和髂静脉水平其他狭窄节段治疗中的适用性。