| 方欣,黄昌拼,解旭品,徐东,林乃弓.腔内治疗症状性锁骨下动脉闭塞症[J].浙江中西医结合杂志,2015,25(8): |
| 腔内治疗症状性锁骨下动脉闭塞症 |
| Endovascular treatment of symptomatic subclavian artery occlusion |
| 投稿时间：2015-03-16 修订日期：2015-07-05 |
| DOI： |
| 中文关键词: 腔内治疗 锁骨下动脉闭塞 症状性 |
| 英文关键词:Endovascular treatment Subclavian artery occlusion Symptomatic |
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| 中文摘要: |
| 【】目的：评估腔内治疗症状性锁骨下动脉闭塞症的临床疗效并分享我们的经验。方法：回顾性分析自2010.4至2014.10行腔内治疗的症状性锁骨下动脉闭塞症38例患者的临床资料,其中合并椎基底动脉缺血者16例,合并上肢缺血者26例；锁骨下动脉狭窄者32例,狭窄率均大于80%,锁骨下动脉闭塞者6例。结果：38例手术均获成功,其中36例行股动脉顺行开通,2例经肱动脉逆行开通,37例临床症状明显缓解或消失,1例术后仍存在活动后头晕,临床成功率97.3%。术后1例发生上肢血肿,保守治疗后治愈,余无明显并发症。随访5-37月,4例发生支架内再狭窄,再手术后保持通畅,34例支架通畅,无相关性症状出现。结论：症状性锁骨下动脉闭塞症的腔内治疗微创,安全,有效,近期疗效确切,可作为治疗首选,同时应重视诊疗的规范性及全身系统的治疗,提高手术安全性及中远期通畅率。 |
| 英文摘要: |
| Objective: To evaluate the clinical effects of endovascular treatment for symptomatic subclavian artery occlusion. Methods: The clinical data of 38 patients with symptomatic subclavian artery occlusion who underwent endovascular treatment from 2010.4 to 2014.10 were analyzed retrospectively. Of all the patients, vertebrobasilar ischemia merged in 16 cases and 26 cases with upper limb ischemia. There were 6 cases of subclavian artery total occlusion and 32 cases subclavian artery stenosis (stenosis rate were all greater than 80%). Results: All cases of endovascular treatment were accomplished successfully in which 36 cases’ operations were achieved through femoral artery and another 2 cases were through brachial artery. There was no significant perioperative complications except 1 case of postoperative puncture site hematoma in upper limb occurred and cured after conservative therapy. All patients were followed up from 5 to 37 months and 4 cases of in-stent restenosis occurred and achieved revascularization after repetition of endovascular PTA. Another 34 cases’ stent patency was good without any associate symptoms. Conclusion: Endovascular treatment of symptomatic subclavian artery occlusion is minimal invasive, safe and with good short-term effective that can be the first option for these patients. At the same time, attention should be paid to the normalization and systematicness of the treatment to improve the perioperative safety and long-term patency rate. |
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