【摘要】 目的评价内膜下技术在治疗髂动脉闭塞性疾病中的应用价值。方法回顾性分析2004年5月~2006年8月在我院血管外科行内膜下介入治疗及球囊扩张和支架植入术的13例髂动脉完全闭塞患者的临床资料。结果13例患者行闭塞段动脉介入治疗均获得成功,主要症状均得到改善,无并发症。患者手术前、后平均踝动脉/肱动脉收缩压指数(ABI)分别为0.39(0~0.83)和0.94(0.73~1.3),两者相比差异有显著性(P=0.004)。平均随访时间12个月(3~21个月),随访率76.9%,支架1年通畅率为100%(14/14枚)。结论内膜下技术在髂动脉闭塞性疾病中有很好的应用价值,方法可靠、安全,近期通畅率较好。更多还原

【Abstract】 Objective To assess the value of subintimal angioplasty in treating patients with iliac artery occlusive disease. Methods We retrospectively analyzed the clinical data of 13 patients with iliac artery occlusion who received subintimal wire placement followed by percutaneous transluminal angioplasty and stent placement in our hospital from May 2004 to August 2006. Results Initial success was obtained in all the 13 patients with an improvement in both the symptoms and the mean ankle-brachial index of 0.55(range:0.39-0.94,P=0.004) without any complication. During the follow-up (range:3-21months; mean:12 months), the one-year stent patency rate reached 100%. Conclusion Subintimal angioplasty is a valuable approach to treat iliac artery occlusion with reliable efficacy and safety.更多还原