摘要
Abstract
Objective To analyze 20 cases of endovascular treatment of lower limb arteriosclerosis obliterans patients. Methods Hospital from May 2014 to May 2015 using endovascular treatment of lower limb arteriosclerosis obliterans 20 patients during 28 limbs, simple to use, compared with 16 interventional treatment of limb limbs intervention combined surgery is 12 limbs. Results 29 limbs were successfully carried out interventional and surgical treatment, after treatment of symptoms, ankle-brachial index was 0.52 ± 0.16, than preoperative index 0.32 ± 0.11 compared to the significantly improved <0.05.1 strip is used for treatment failure amputation, amputation was 0.36%. Treatment of one case of death within 30 days, the mortality rate was 5%. 20 patients were followed up for 1~72 months, an average of 36 months. Two cases of bypass graft thrombosis, 1 underwent surgical embolectomy, while applying artificial arteries anastomosis ball expanding stent, one case of knee amputation, one case is given conservative treatment. Two cases of iliac and femoral popliteal artery stent a secondary lower limb ischemia, 2 cases of stent occlusion, stenosis, compared with one case, two cases to be balloon-expandable stent secondary, one case of bypass surgery, the patient's symptoms after the adoption of the above treatment They were able to relieve lower extremity symptoms without recurrence. Conclusion The endovascular treatment of lower limb arteriosclerosis obliterans significant effect, can substantially improve the symptoms of patients with lower limb arteriosclerosis obliterans, so that the patient lower limb blood supply recovery, while reducing the incidence of cerebral infarction and amputation rate and mortality.关键词
血管介入/下肢动脉硬化闭塞/治疗效果Key words
Vascular intervention/Extremity atherosclerosis/Treatment effect
