中国临床医学影像杂志2017，Vol.28Issue(2)：133-136,4.
经腘动脉入路逆行治疗同侧股腘动脉长段慢性完全闭塞性病变
Retrograde approach via the popliteal artery for treating long and chronic total occlusions in ipsilateral femoral-popliteal arteries
郑加贺 1畅智慧 1王传卓 1刘兆玉 1郭启勇1
作者信息
- 1. 中国医科大学附属盛京医院放射科,辽宁沈阳 110004
- 折叠
摘要
Abstract
Objective:To investigate the feasibility and application value via the popliteal artery for treating long and chronic total occlusions (CTO) in ipsilateral femoral-popliteal arteries.Methods:A retrospective analysis was undertaken of 26 patients who underwent retrograde recanalization via a popliteal artery access for long and CTO in ipsilated femoral-popliteal arteries.Success rate of retrograde puncture and femoral-pophteal artery recanalization were summarized.The complications and short-term clinical efficacy were also analyzed.Results:Technical success (puncture of the popliteal artery and femoralpopliteal artery recanalization) was achieved in all cases.The clinical symptoms improved significantly after operation.Compared with pre-procedure data,the ankle-brachial index(ABI) increased significantly from 0.32±0.13 to 0.82±0.15(P＜0.05).Perioperative complications related to popliteal access included 1 pseudoaneurysm,1 arterio-venous fistula and 3 hematomas in the popliteal region.Restenosis or occlusion were found in 4 patients during 6 months following-up.The primary patency at 6 months was 84.6％(22/26).Conclusion:Retrograde approach via the popliteal artery is a safe and effective technique for long and CTO in femoral-popliteal arteries,which can be considered as first choice after failed antegrade recanalization.关键词
动脉硬化,闭塞性/放射学,介入性Key words
Arteriosclerosis obliterans/Radiology, interventional分类
医药卫生引用本文复制引用
郑加贺,畅智慧,王传卓,刘兆玉,郭启勇..经腘动脉入路逆行治疗同侧股腘动脉长段慢性完全闭塞性病变[J].中国临床医学影像杂志,2017,28(2):133-136,4.
