中国普通外科杂志2011，Vol.20Issue(12)：1307-1310,4.
高龄患者股腘动脉硬化闭塞症的腔内治疗
Endovascular treatment of femoropopliteal arteriosclerosis obliterans in elderly patients
王中华 1陈学东 1鲁静 1田磊 1杨晓冬 1王世华 1王育红1
作者信息
- 1. 解放军海军总医院普通外科,北京100048
- 折叠
摘要
Abstract
Objective To investigate the technical features and clinical efficacy of endovascular treatment of femoropopliteal arteriosclerosis obliterans in elderly patients. Methods The clinical data of SO elderly patients (62 limbs ) with femoropopliteal arteriosclerosis obliterans undergoing endovascular treatment using percutaneous transluminal angioplasty ( PTA) and stent implantation from March 2009 to January 2011 in our hospital were retrospectively analyzed. There were 30 male patients (38 limbs) and 20 female patients (24 limbs) , whose ages ranged from 70 to 88 yeais ( average of 78. S years) , and whose disease durations ranged from three months to five years. The lesions were located at femoropopliteal and infrapopliteal arteries. Results Fifty-eight limbs were successfully treated and the technical success rate was 93. 5% (58/62). Perioperative complications occurred in five patients that accounted for 8. 06% (5/62) , including one case of pseudoaneurysm formation at the puncture site, one case of artery perforation, two cases of artery dissection and one case of heart failure, which were all resolved after treatment. No perioperative deaths occurred. The ankle-brachial index ( ABI) increased from 0. 58 ± 0. 22 before surgery to 0. 88 ± 0. 25 one week after surgery (t =7.09, P <0. 001 ). The primary patency rate was 80% (32/40) and 68. 8% (22/32),and the secondary patency rate was 95.0% (34/40) and 75. 0% (24/32) at 12 and 24 months after surgery, respectively. The limb salvage rate was 93. 8% (30/32) at 24 months after surgery. Two patients underwent metatarsal-phalangeal amputation due to diabetic foot with necrotic toe. Conclusions For the elderly patients with femoropopliteal arteriosclerosis obliterans, the endovascular treatment has better short-term effect, high technical success rate and low complication incidence. Rigorous perioperative management can prevent the occurrence of complications, and its long-term efficacy needs to be assessed by further follow-up.关键词
动脉硬化,闭塞性/治疗/股动脉/腘动脉/血管成形术,气囊/老年人Key words
Arteriosclerosis Obliterans/ther/Femoral Artery/Popliteal Artery/Angioplasty, Balloon/Aged分类
医药卫生引用本文复制引用
王中华,陈学东,鲁静,田磊,杨晓冬,王世华,王育红..高龄患者股腘动脉硬化闭塞症的腔内治疗[J].中国普通外科杂志,2011,20(12):1307-1310,4.
