【摘要】 目的　评价经皮腔内成形术 (PTA)及支架植入术治疗髂动脉的动脉硬化性狭窄的早期及晚期临床疗效。方法　从 1994年 12月～ 2 0 0 0年 2月 ,为 31名患者的 4 2条髂动脉血管内植入 4 4个Wallstent支架 ,进行临床及血管造影随访。结果　 4 4个支架植入操作均获成功。 1例患者回家后第 3天穿刺部位血肿 ,超声检查为假性动脉瘤 ,行外科手术修复 ,术后半年血管造影检查无再狭窄。临床随访 (36± 13)个月 ,术后间歇性跛行及休息痛等症状均消失。 31例患者中有 2 0例 (2 9条血管 )进行血管造影随访 ,随访时间 (10± 5 )个月。血管造影随访时有 1例患者的 1条髂动脉出现再狭窄 ,再狭窄率 2 %(1/ 4 2 ) ,成功地再次行PTA。结论　髂动脉PTA和支架术是一种安全有效的方法 ,成功率高 ,并发症少 ,再狭窄率低 ,可作为髂动脉狭窄的首选治疗方法。更多还原

【Abstract】 Objective This study reports the early and late results of percutaneous transluminal angioplasty (PTA) and intravascular stenting for atherosclerotic stenosis of the iliac artery. Methods From December 1994 to February 2000, we performed iliac artery angioplasty and primary intravascular stent placement in 42 vessel of 31 patients (23 men and 8 women; mean age, 70.5 years). A total of 44 self expanding Wallstents ( Boston Schneider, Inc. ) were deployed. All patients underwent angioplasty and stent placement successfully. Results Clinical follow up was available for all patients at a mean of (36±13) months. All patients with clinical ischemic category (claudication or rest pain) were improved. Angiographic follow up with completed data are available for 20 of 31 patients at a mean follow up of (10±5) months. The iliac artery restenosis rate was 2%(1/42). The patients again underwent balloon angioplasty successfully. Conclusions PTA and primary stenting of the iliac arteries are effective and safety for treating iliac arterial stenosis,and should be the method of first shoice.更多还原