Jin Z, Yang N
PUMC Hospital, CAMS, Beijing.
Zhongguo Yi Xue Ke Xue Yuan Xue Bao. 1996 Oct;18(5):348-52.
Percutaneous transluminal angioplasty (PTA) is a well-established treatment for patients with stenosis of limb arteries. However, its efficacy for treatment of severe stenosis and occlusions of the subclavian artery is unclear. We attempted to recanalize the subclavian artery in 30 patients with severe stenosis or total occlusion of proximal subclavian artery and successful outcomes were seen in 27 cases (90%). In two patients the regional arterial thrombolysis with the PTA prcedure we used was found successful. There was no severe complications. During an average 6-month follow-up stenosis recurred in 2 patients, but the subclavian artery was recanalized by repedted PTA.
经皮腔内血管成形术（PTA）是治疗肢体动脉狭窄患者的一种成熟疗法。然而，其治疗锁骨下动脉严重狭窄和闭塞的疗效尚不清楚。我们尝试对30例锁骨下动脉近端严重狭窄或完全闭塞的患者进行锁骨下动脉再通，27例（90%）取得成功。在2例患者中，我们采用的PTA联合局部动脉溶栓治疗取得成功。未出现严重并发症。在平均6个月的随访期间，2例患者出现狭窄复发，但通过再次PTA使锁骨下动脉再通。
