Ohya T, Kawamata H, Murakami R, Goto S, Takaura J, Aoyama T, Iida E, Tajima H, Kumazaki T, Nishikawa H
Department of Radiology, Nippon Medical School.
Nihon Igaku Hoshasen Gakkai Zasshi. 1994 Dec 25;54(14):1418-20.
Intra-arterial stent placement without thrombolytic therapy was performed in four patients with chronic iliac arterial occlusion. The length of angiographically observed occluded lesions ranged from 2.0 cm to 14.0 cm (mean: 5.1 cm). The implanted stents included four Wall stents, two Strecker stents and one Palmaz stent. The mean ankle-arm index before and after stenting improved from 0.48 to 0.77, while the mean pressure gradient improved from 82.5 mmHg to 3.0 mmHg. Symptoms were eliminated in all patients after the procedure. No major complications were encountered during the procedure. Primary stent implantation in chronic iliac occlusions is useful to avoid bypass surgery.
对4例慢性髂动脉闭塞患者进行了未溶栓治疗的动脉内支架置入术。血管造影观察到的闭塞病变长度为2.0 cm至14.0 cm（平均：5.1 cm）。植入的支架包括4个Wall支架、2个Strecker支架和1个Palmaz支架。支架置入前后的平均踝臂指数从0.48提高到0.77，而平均压力梯度从82.5 mmHg提高到3.0 mmHg。术后所有患者症状均消失。术中未遇到重大并发症。慢性髂动脉闭塞的一期支架植入术有助于避免搭桥手术。
