Boyer L, Carrié D, Ribal J P, Glanddier G, Viallet J F
Services de radiologie et chirurgie vasculaire, hôpital Montpied, CHU, Clermont-Ferrand.
Arch Mal Coeur Vaiss. 1994 Mar;87(3):371-8.
The authors report the immediate and mid term results of percutaneous transluminal angioplasty of stenosis of the subclavian (16 cases), brachiocephalic (1 case) and axillary arteries (1 case) in a series of 18 patients. These lesions were responsible for isolated ischaemia of the arm in 6 cases, vertebrobasilar insufficiency in 6 cases and an association of the two presentations in 2 cases; in 4 asymptomatic patients, the procedure was undertaken to maintain cerebral perfusion. A technical success was obtained in all cases, with one femoral haematoma and one episode of transient visual disturbance, which were spontaneously regressive, as the only complications. The good results were sustained clinically at the end of follow-up (4 to 40 months, average 17.7 months) in 13 of the 14 patients who were followed up. The symptoms recurred after 26 months in the final case which led to the diagnosis of restenosis which was successfully redilated.
作者报告了18例患者经皮腔内血管成形术治疗锁骨下动脉（16例）、头臂干动脉（1例）和腋动脉（1例）狭窄的近期和中期结果。这些病变导致6例患者单纯手臂缺血，6例患者椎基底动脉供血不足，2例患者两者并存；4例无症状患者接受该手术以维持脑灌注。所有病例均获得技术成功，唯一的并发症是1例股部血肿和1次短暂性视觉障碍发作，均自行消退。在接受随访的14例患者中，13例在随访结束时（4至40个月，平均17.7个月）临床效果良好。最后1例患者在26个月后症状复发，诊断为再狭窄，成功进行了再次扩张。
