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[经皮腔内血管成形术(PTA)和导管溶栓术初始成功的预后标准]

[Prognostic criteria for initial success in PTA and catheter thrombolysis].

作者信息

Stein U, Reichardt M, Wagner E

机构信息

Medizinische Abteilung des St. Josefskrankenhauses, Akademisches Lehrkrankenhaus der Universität Heidelberg.

出版信息

Vasa. 1994;23(1):10-4.

PMID:8154168
Abstract

The preliminary results of 1063 percutaneous dilatations (PTA) of iliac or femoropopliteal arteries were evaluated in order to establish pre-existing clinical or morphological criteria with possible influence on the early success rate. Early failure was defined as the impossibility to eliminate the arterial occlusion or re-occlusion within 48 hours. Regarding the clinical criteria the combination of long duration and advanced stage of the disease unfavourably influenced the primary success rate (failure rate of 40%). Morphological factors such as length of occlusion over 10 cm, poor run-off or existence of large arterio-venous shunts had an even worse influence on the early success rate (failure rate of 50-60%).

摘要

为了确定可能影响早期成功率的既存临床或形态学标准,对1063例髂动脉或股腘动脉经皮血管腔内血管成形术(PTA)的初步结果进行了评估。早期失败定义为在48小时内无法消除动脉闭塞或再闭塞。关于临床标准,疾病持续时间长和晚期的组合对初次成功率有不利影响(失败率为40%)。形态学因素,如闭塞长度超过10厘米、流出道不佳或存在大的动静脉分流,对早期成功率的影响更差(失败率为50%-60%)。

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