Kichikawa K, Uchida H, Nishimine K, Maeda M, Kubota Y, Ohishi H
Department of Radiology, Nara Medical University, Japan.
Cardiovasc Intervent Radiol. 1995 Mar-Apr;18(2):125-8. doi: 10.1007/BF02807238.
Thirty patients with atherosclerotic stenoses or occlusions of iliofemoral arteries were treated from the contralateral approach using a newly designed J-shaped sheath. Seven patients with stenoses and one with an occlusion were successfully dilated with balloon angioplasty. Twenty-two patients with occlusions were treated with urokinase infusion, 16 of whom received coaxial infusion with the J-shaped sheath and catheter. Complete thrombolysis was achieved in 18 patients. The treatment success rate was 100% in the stenotic group and 83% in the occlusion group. Initially, J-shaped sheaths were useful for treatment of iliofemoral artery lesions from the contralateral femoral artery.
30例患有髂股动脉粥样硬化狭窄或闭塞的患者采用新设计的J形鞘管经对侧入路进行治疗。7例狭窄患者和1例闭塞患者通过球囊血管成形术成功扩张。22例闭塞患者接受了尿激酶灌注治疗，其中16例通过J形鞘管和导管进行同轴灌注。18例患者实现了完全溶栓。狭窄组的治疗成功率为100%，闭塞组为83%。最初，J形鞘管对于经对侧股动脉治疗髂股动脉病变很有用。
