Calligaro K D, Dougherty M J, Patterson D E, Raviola C A, DeLaurentis D A
Section of Vascular Surgery, Pennsylvania Hospital/University of Pennsylvania School of Medicine, Philadelphia 19106, USA.
Ann Vasc Surg. 1998 May;12(3):296-8. doi: 10.1007/s100169900157.
The purpose of this study is to describe the advantages and value of an endovascular suite in the operating room from a vascular surgeon's perspective. All endovascular procedures were performed in a specially equipped operating room by vascular surgeons using digital fluoroscopic imaging equipment. Between January 1, 1994 and August 31, 1996, intraoperative balloon angioplasties were attempted by vascular surgeons in 102 patients with insertion of 22 stents. Angioplasties were performed for stenoses in 50 arterial bypasses and 25 iliac, 17 femoral and 10 popliteal arteries proximal or distal to arterial grafts. Sixty-two procedures were performed concomitantly with a surgical bypass and 40 were performed as the sole procedure (30 percutaneous, 10 open) in patients who had previously undergone a bypass. There were five technically unsatisfactory results which were converted to surgical procedures and one postoperative hematoma that required surgical repair. Ninety of the 102 grafts remained patent more than 1 month after the procedure. Establishment of an endovascular operating room suite enables vascular surgeons to perform adjunctive endovascular procedures concomitantly with vascular surgery and treat unexpected findings in the operating room amenable to endovascular intervention without requesting other interventionalists to participate on an emergent basis.
本研究的目的是从血管外科医生的角度描述手术室中血管腔内治疗设备的优势和价值。所有血管腔内手术均由血管外科医生在配备特殊设备的手术室中使用数字荧光成像设备进行。在1994年1月1日至1996年8月31日期间，血管外科医生对102例患者尝试进行了术中球囊血管成形术，并植入了22枚支架。血管成形术用于50条动脉旁路移植血管以及动脉移植血管近端或远端的25条髂动脉、17条股动脉和10条腘动脉的狭窄。62例手术与外科旁路手术同时进行，40例手术是对先前接受过旁路手术的患者单独进行的（30例经皮手术，10例开放手术）。有5例技术结果不理想，转为外科手术治疗，1例术后血肿需要手术修复。102条移植血管中有90条在术后1个月以上仍保持通畅。建立血管腔内手术室使血管外科医生能够在进行血管外科手术的同时进行辅助血管腔内手术，并在手术室中处理适合血管腔内干预的意外情况，而无需紧急请求其他介入专家参与。
