论文部分内容阅读
作者报告1例77岁女性患者,右髂总动脉狭窄达管腔的50％,狭窄部直径10～11mm,狭窄上、下压差20mmHg。选用7F,带有长4cm、直径10mm胶囊导管行右髂总动脉成形术,2次充胀胶囊证实狭窄部被成功扩张,但有造影剂外渗。立即将气囊再次充气达4个大气压,堵塞动脉破裂处,此时髂总动脉也被完全堵塞。15分钟后瘪缩胶囊造影,未见造影剂外渗。在此期间病人被常规肝素化。将胶囊导管留置于髂总动脉,严密观察。三天后,顺利行右股至左股动脉解剖学外旁路手术。三周后,IV DSA证实血管成形部位通畅,无不良后果。作者指出,这种保守治疗方法,有希望代替
The authors report a 77-year-old woman with a right common iliac artery stenosis of 50% of the lumen, stenosis diameter 10 ~ 11mm, and stenosis up and down pressure 20mmHg. Selection of 7F, with a length of 4cm, 10mm diameter catheter catheter right common iliac artery angioplasty, 2 inflatable capsules confirmed the successful expansion of the stenosis, but with contrast agent extravasation. Immediately inflated the balloon to 4 atmospheres, blocking the rupture of the artery where the common iliac artery was also completely occluded. Shrink capsule capsule after 15 minutes, no extravasation of contrast agent. During this period the patient is routinely heparinized. The capsule catheter indwelling common iliac artery, closely observed. Three days later, the right line to the right femoral artery bypass the right bypass surgery. Three weeks later, the IV DSA confirmed that the angioplasty site was clear with no adverse consequences. The author points out that this conservative treatment, there is hope instead