摘要
目的评估VIABAHN支架血管腔内置入术治疗髂及股胭动脉损伤的疗效。方法对遵义医学院附属医院2013年12月至2015年8月收治的髂动脉及股、胭动脉损伤的患者，全身情况差．术前评估无法耐受传统外科手术或外科手术风险较大者共12例行VIABAHN支架血管腔内置入。记录术中技术成功率。记录术前，术后及随访过程中足背动脉及胫后动脉搏动情况，监测患肢ABI值。患肢血管彩超及CTA检查以检测血管及支架通畅情况。结果技术成功率100％，术毕患肢足背动脉及胫后动脉均搏动良好。无术中及术后近期腔内治疗并发症（内漏，支架移位，穿刺点血肿，动脉及支架内血栓形成和造影剂肾病等）发生。息肢ABI值由术前0．45±0．12提高至0．95±0．06。CTA随访检查，仅1例患者术后10个月出现支架近端轻度（〈30％）狭窄。术后随访3。18个月，平均（10±4）个月。随访过程中，无一例患者有肢体缺血症状，ABI值均在0．9以上。结论VIABAHN支架血管腔内置入术治疗外周动脉损伤短中期疗效是肯定的，但远期疗效还有待于进一步观察。
Objective To evaluate therapeutic effect of endovascular treatment of iliac, femoral or popliteal artery injury with VIABAHN stent. Methods Endovascular treatment of iliac, femoral or popliteal artery injury was performed with VIABAHN stents in 12 patients admitted to our hospital from August 2015 to December 2013. Results Technical success rate was 100%. Strong instant postoperative pulsation of all dorsal and posterior tibial arteries could be palpated. No procedural and postoperative short term complications （endoleak, stent migration, hematoma at puncture site, thrombosis in arteries and stents and contrast nephropathy） were found. ABI value of injured lower limbs was promoted from preoperative 0.45 ± 0. 12 to postoperative 0. 95 ± 0.06. Mild stenosis（ 〈 30% ）of proximal end of stent was noted in one case by CTA. Patients were followed up for 3 - 18 months [ averaging （ 10 ± 4 ） months ]. There was no postoperative limb ischeamia related symptoms. ABI was above 0. 9 in all patients. Conclusion The short and middle term therapeutic effect of endovascular treatment of iliac, femoral and popliteal artery injury with VIABAHN stent was satisfactory.
出处
《中华普通外科杂志》
CSCD
北大核心
2017年第1期54-56,共3页
Chinese Journal of General Surgery
关键词
血管系统损伤
支架
髂动脉
股动脉
Vascular system injuries
Stents
Iliac artery
Femoral artery
