Strunk H M, Schild H H, Düber C, Mildenberger P, Schunk K, Mostbacher M, Dahm M
Institut für Klinische Strahlenkunde, Universitätskliniken Mainz.
Rofo. 1993 Sep;159(3):251-7. doi: 10.1055/s-2008-1032759.
51 occlusions of iliac arteries and 67 stenoses have been treated, including 22 patients with bilateral lesions. Indications for stent implantations were: vascular occlusions (51), restenosis following previous PTA (22) and immediate unsatisfactory results or extensive dissection after PTA (45). Successful placement of a stent was achieved in 116 out of 118 attempts. Period of observation averaged 16 months (3-36 months). Stent occlusion was observed in 8 cases. There was mild intima hyperplasia in 25 patients and in a further 14 intima hyperplasia exceeded 75%. Patency rate after 36 months was 67%; 74 wall stents and 39 Palmaz stents were patent, a patency rate of 73 and 65% respectively after 24 months.
已治疗51例髂动脉闭塞和67例狭窄,其中包括22例双侧病变患者。支架植入的适应证为:血管闭塞(51例)、既往经皮腔内血管成形术(PTA)后再狭窄(22例)以及PTA后即刻效果不满意或出现广泛夹层(45例)。118次尝试中有116次成功植入支架。观察期平均为16个月(3 - 36个月)。观察到8例支架闭塞。25例患者存在轻度内膜增生,另有14例内膜增生超过75%。36个月后的通畅率为67%;74个Wallstent支架和39个Palmaz支架通畅,24个月后的通畅率分别为73%和65%。