论文部分内容阅读
目的 评价经皮穿刺锁骨下动脉腔内成形术的效果及安全性。方法 对 76例锁骨下动脉严重狭窄或完全闭塞的患者行经皮经腔血管成形术 (PTA)。所有患者均有椎基底动脉和 (或 )上肢动脉供血不足症状。术前DSA证实锁骨下动脉狭窄 6 9例 ,完全闭塞 7例。行单纯球囊扩张术6 8例 ,置入支架 8例。结果 PTA术后所有患者症状均消失或明显减轻。DSA、经颅多普勒超声(TCD)显示 45例患者锁骨下动脉窃血被纠正 ,有 3例出现并发症 (2例穿刺部位假性动脉瘤形成 ,1例术中一过性眩晕瞬间恢复 )。经 4～ 35个月的随访 (平均 2 9个月 ) ,发生再狭窄 3例。结论 PTA治疗锁骨下动脉严重狭窄或完全闭塞是有效和安全的 ,并发症低于手术治疗。
Objective To evaluate the efficacy and safety of percutaneous translaminar subclavian artery endoplasty. Methods Percutaneous transluminal angioplasty (PTA) was performed on 76 patients with severe or completely occluded subclavian artery. All patients had vertebrobasilar and / or upper extremity arterial insufficiency symptoms. Preoperative DSA confirmed subclavian artery stenosis 69 cases, totally occluded in 7 cases. 68 cases of simple balloon dilatation, stent placement in 8 cases. Results All patients’ symptoms disappeared or obviously alleviated after PTA. DSA and transcranial Doppler echocardiography (TCD) showed that 45 cases of subclavian artery steal were corrected and 3 cases had complications (2 cases of pseudoaneurysm formation at puncture site and 1 case of transient transient vertigo ). After 4 to 35 months of follow-up (mean 29 months), 3 cases of restenosis occurred. Conclusion The treatment of severe subclavian artery stenosis or complete occlusion by PTA is effective and safe, and the complication is lower than surgery.