北华大学学报（自然科学版）Issue(1)：61-65,5.DOI:10.11713/j.issn.1009-4822.2015.01.015
应用支架术成功开通1例左锁骨下动脉慢性完全性闭塞8a病变临床分析
Clinical Analysis on Successful Recanalization of One Case with Chronic Total Occlusions of Left Subclavian Artery Treated with Stent
刘同库 1孙凤 1盖越 1张景贵 1邵润卓1
作者信息
- 1. 北华大学附属医院，吉林 吉林 132011
- 折叠
摘要
Abstract
Objective To explore the method and effects on successful recanalization of subclavian artery chronic total occlusions ( CTO ) lesions lasting for pathological course of eight years treated with percutaneous transluminal angioplasty( PTA) and stent implantation. Method The patients suffered from dizziness,headache and ischemic symptoms of left upper limb( cold feeling,numbness,pain,and activities increase) for eight years, and were proved to be CTO of the left subclavian artery by angiography and underwent stent implantation. The right femoral approach was used in the procedures. 8F guide catheter and PROGRESS guidewire ( coronary guidewire) were inserted into the ostium of left subclavian artery. With the support of the small balloon( diameter and length were 1. 5 mm×15 mm),the guidewire passed hard through the occluded lesions to distal vessel. Then the perdilatation for the entire lesions was performed with 1. 5 mm×20 mm,2. 0 mm×20 mm and 4. 0 mm×15 mm Maverick balloon with 12~16 atm for 30 seconds separately. Express stent(6. 0 mm×57 mm,Balloon expandable stent) was implanted with 16 atm × 30 seconds. Results After stenting, blood flow in the lesion blood vessel recovered to TIMI Ⅲ level, left radial artery fluctuations were clear, blood pressure of the left supper limb returned to normal,and the symptoms of ischemia disappeared. Conclusion PTA and stenting are effective and safe method for the persistent recanalization of subclavian artery CTO lesions, easy to operate, and have good immediate and long-term effects.关键词
锁骨下动脉/慢性完全性闭塞/支架植入/近期和远期效果Key words
subclavian artery/chronic total occlusion/stent implantation/immediate and long-term outcomes分类
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刘同库,孙凤,盖越,张景贵,邵润卓..应用支架术成功开通1例左锁骨下动脉慢性完全性闭塞8a病变临床分析[J].北华大学学报（自然科学版）,2015,(1):61-65,5.
