Müller-Hülsbeck S, Schwarzenberg H, Steffens J C, Kopp U, Link J, Kutzner D, Glüer C C, Heller M
Klinik für Radiologische Diagnostik der Christian-Albrechts-Universität, Kiel.
Rofo. 1998 Jun;168(6):604-9. doi: 10.1055/s-2007-1015287.
To evaluate effectiveness, success and patency rates after endovascular treatment with mid-size Palmaz stents in high-grade stenoses or short-distance occlusions of femoral arteries.
27 patients with 10 occlusions (average length 3.2 +/- 1.4 cm) and 17 severe stenoses of the superficial femoral artery were treated with 33 mid-size Palmaz stents. The follow-up included Doppler ultrasound at one, three, 6 and 12 months and an angiography at 6 months. Mean follow-up was 6.5 months.
Technical success was 100%. The ankle-brachial index improved from 0.57 +/- 0.28 pretreatment to 0.87 +/- 0.13 within 24 hours. Acute stent thrombosis occurred in two patients (< 3 weeks). Angiography at 6 months revealed restenosis rates of 7.4% (> 50%, n = 2). Life-table analysis according to Kaplan-Meier revealed 6-month primary and secondary patency rates of 84% and 91%.
With regard to our limited data, the implantation of mid-size Palmaz stents in femoral arteries seems promising in treatment of short-distance occlusions and stenoses of the femoral artery.
评估使用中型帕尔马兹支架对股动脉高度狭窄或短段闭塞进行血管内治疗后的有效性、成功率和通畅率。
27例患者，其中股浅动脉有10处闭塞（平均长度3.2±1.4厘米）和17处严重狭窄，使用33个中型帕尔马兹支架进行治疗。随访包括在1、3、6和12个月时进行多普勒超声检查，以及在6个月时进行血管造影。平均随访时间为6.5个月。
技术成功率为100%。踝肱指数在24小时内从治疗前的0.57±0.28提高到0.87±0.13。两名患者（<3周）发生急性支架血栓形成。6个月时的血管造影显示再狭窄率为7.4%（>50%，n = 2）。根据Kaplan-Meier法进行的生存表分析显示，6个月时的初级和次级通畅率分别为84%和91%。
就我们有限的数据而言，在股动脉中植入中型帕尔马兹支架在治疗股动脉短段闭塞和狭窄方面似乎很有前景。
