Bonelli U, Cerruti R, Baglietto F, Arnuzzo L, Zinicola N
Divisione di Chirurgia Vascolare, V USL Finalese, Regione Liguria, Ospedale Santa Corona-Pietra Ligure Savona.
Minerva Chir. 1995 Jan-Feb;50(1-2):105-8.
The authors outline their experience with reference to the treatment of segmentary lesions at the level of the iliac artery. They analyse a series of 93 patients undergoing PTA. In 85 cases it was possible to conclude the procedure: 4 patients presented a small occlusion and 81 stenosis which was associated with femoro-popliteal occlusion in 35 cases. The authors analyse the results using life tables and show that treatment is optimal for the common iliac artery whereas the percentage of restenosis increases parallel to progress in a distal direction. In conclusion, the authors affirm that the procedure is safe and in order to improve results, above all at the level of the external iliac artery, il will probably be necessary in the future to use additional endovascular techniques such asm for example, the systematic use of stent.
作者概述了他们在髂动脉水平节段性病变治疗方面的经验。他们分析了一系列93例行经皮腔内血管成形术(PTA)的患者。85例患者成功完成了该手术:4例出现小闭塞,81例为狭窄,其中35例伴有股腘动脉闭塞。作者使用生命表分析结果,表明治疗对髂总动脉效果最佳,而再狭窄率则随着病变向远端发展而平行增加。总之,作者肯定该手术是安全的,并且为了改善治疗效果,尤其是在髂外动脉水平,未来可能有必要使用额外的血管内技术,例如系统地使用支架。