Cardon J M, Cardon A, Joyeux A, Noblet D, Gautier J, Vidal V
Unité de Chirurgie Thoracique et Cardio-Vasculaire, Clinique des Franciscaines, Nîmes, France.
Ann Vasc Surg. 1995;9 Suppl:S54-61. doi: 10.1016/s0890-5096(06)60452-4.
The purpose of this study was to evaluate the feasibility of transluminal techniques in an unselected group of patients and to assess long-term outcome in successful procedures. All patients in whom iliac artery recanalization was attempted were included in this study. Patients with an occluded prosthesis or recent embolism were excluded. A total of 37 patients were studied. Assessment of the success or failure of the procedure was based on the results of control arteriography. Recanalization was deemed successful in 31 patients. This study demonstrates that transluminal recanalization of occluded iliac arteries by a surgeon is indeed feasible. Primary patency was 66% at 24 months. The potential risk, however, is long-term restenosis. Thus follow-up examination every 6 months is recommended including pressure index measurements after exercise and color Doppler ultrasonography of the recanalized zone.
本研究的目的是评估腔内技术在未经挑选的患者群体中的可行性，并评估成功手术的长期结果。所有尝试进行髂动脉再通术的患者均纳入本研究。排除有闭塞性假体或近期栓塞的患者。共研究了37例患者。手术成功或失败的评估基于对照动脉造影的结果。31例患者再通成功。本研究表明，外科医生对闭塞性髂动脉进行腔内再通确实是可行的。24个月时的原发性通畅率为66%。然而，潜在风险是长期再狭窄。因此，建议每6个月进行一次随访检查，包括运动后压力指数测量和再通区域的彩色多普勒超声检查。
