Hallisey M J, Deschaine J, Illescas F F, Sussman S K, Vine H S, Ohki S K, Straub J J
Division of Vascular and Interventional Radiology, University of Connecticut School of Medicine, Hartford Hospital, USA.
J Vasc Interv Radiol. 1995 Sep-Oct;6(5):785-91. doi: 10.1016/s1051-0443(95)71186-1.
To evaluate percutaneous transluminal angioplasty (PTA) in the treatment of visceral ischemia.
Over a 14-year period, 25 focal visceral artery stenoses were treated with PTA in 16 patients with acute or chronic visceral ischemia. Thirteen patients were women and three were men, with a mean age of 64.7 years (range, 54-79 years). PTA was performed in seven celiac arteries, 17 superior mesenteric arteries, and one inferior mesenteric artery.
PTA was technically successful in 14 of 16 patients (88%). Two patients were lost to follow-up. Nine of 12 patients (75%) demonstrated primary patency with relief of clinical symptoms at a mean follow-up of 2.3 years (range, 0.3-5 years). The remaining three patients underwent successful repeat PTA for recurrent symptoms. There was one postprocedural death, and one patient subsequently underwent successful surgical bypass for recurrent visceral ischemia.
Angioplasty of the visceral arteries may provide relief for select patients with intestinal ischemia, but redilation may be required in some patients.
评估经皮腔内血管成形术（PTA）治疗内脏缺血的效果。
在14年期间，对16例急性或慢性内脏缺血患者的25处局灶性内脏动脉狭窄进行了PTA治疗。13例为女性，3例为男性，平均年龄64.7岁（范围54 - 79岁）。对7支腹腔动脉、17支肠系膜上动脉和1支肠系膜下动脉进行了PTA治疗。
16例患者中有14例（88%）PTA技术成功。2例患者失访。12例患者中有9例（75%）在平均2.3年（范围0.3 - 5年）的随访中显示出原发性通畅且临床症状缓解。其余3例患者因复发症状接受了成功的再次PTA治疗。有1例术后死亡，1例患者随后因复发性内脏缺血接受了成功的外科搭桥手术。
内脏动脉血管成形术可为部分肠缺血患者缓解症状，但部分患者可能需要再次扩张。
