中国普通外科杂志Issue(6)：818-822,5.DOI:10.3978/j.issn.1005-6947.2015.06.010
经腘动脉入路逆行内膜下血管成形术治疗股浅动脉长段硬化性闭塞症的临床研究
Subintimal angioplasty through retrograde popliteal approach for long superficial femoral artery sclerotic occlusion
章森苗1
作者信息
- 1. 浙江省宁波市镇海龙赛医院 普通外科，浙江 宁波 315200
- 折叠
摘要
Abstract
Objective: To investigate the effectiveness and feasibility of subintimal angioplasty/stent placement through retrograde popliteal approach for long superifcial femoral artery sclerotic occlusion with failed recanalization by conventional endovascular antegrade approach. <br> Methods: hTe data of iftfy patients with long superifcial femoral artery sclerotic occlusions, in whom the guide wire and catheter failed to advance into the distal true lumen through the occlusive lesions by antegrade ipsilateral or contralateral femoral approach, and then underwent subintimal angioplasty by retrograde popliteal approach were analysed. <br> Results: hTe immediate success rate of stent placement was 100%, with primary and secondary patency rate of 48.0% and 92.0% at 12 months. In all the patients, the ankle brachial index (ABI) was increased and Rutherford classiifcation was improved signiifcantly compared with those before operation (allP<0.05). Postoperative limb swelling occurred in 5 patients and popliteal pseudoaneurysm developed in 3 patients at 3 months atfer operation, which were all improved atfer treatment. Restenosis occurred atfer one year in 16 patients (32.0%). <br> Conclusion: Subintimal angioplasty/stent placement through retrograde popliteal approach is effective and feasible in treatment of long superficial femoral artery sclerotic occlusion with failed recanalization after conventional endovascular antegrade approach.关键词
闭塞性动脉硬化/股动脉/血管成形术Key words
Arteriosclerosis Obliterans/Femoral Artery/Angioplast分类
医药卫生引用本文复制引用
章森苗..经腘动脉入路逆行内膜下血管成形术治疗股浅动脉长段硬化性闭塞症的临床研究[J].中国普通外科杂志,2015,(6):818-822,5.
