CAJ | 학술논문

目的：探讨小口径覆膜支架在周围血管疾病的应用价值。方法回顾分析我院2011年12月至2013年3月收治的23例周围血管疾病患者应用小口径腹膜支架的临床资料,全组患者共置入巴德小口径覆膜支架28枚,使用支架直径在6~12mm。结果所有患者中,髂动脉瘤1例,肠系膜上动脉瘤2例,锁骨下假性动脉瘤2例,股总动脉假性动脉瘤3例,锁骨下动脉狭窄3例,髂动脉狭窄闭塞6例,髂动脉及股动脉急性创伤性损伤6例。支架释放技术成功率100%,8例动脉瘤的患者植入覆膜支架后均立即隔绝,无内漏,支架植入动脉远端血流通畅,9例狭窄或闭塞的病变支架植入后,病变血管远端血流通畅,6例创伤患者植入支架后有效隔绝血管破口；所有23例患者中,1例失访,其余的平均随访时间13.6个月。随访22例效果良好,无支架内血栓形成、无移位、无支架内狭窄等并发症。结论小口径覆膜支架用于周围血管疾病有其微创性、快速性、及近期疗效确切,特别是在一些特殊情况下起到了非替代的作用,但是远期疗效有待进一步观察。
목적：탐토소구경복막지가재주위혈관질병적응용개치。방법회고분석아원2011년12월지2013년3월수치적23례주위혈관질병환자응용소구경복막지가적림상자료,전조환자공치입파덕소구경복막지가28매,사용지가직경재6~12mm。결과소유환자중,가동맥류1례,장계막상동맥류2례,쇄골하가성동맥류2례,고총동맥가성동맥류3례,쇄골하동맥협착3례,가동맥협착폐새6례,가동맥급고동맥급성창상성손상6례。지가석방기술성공솔100%,8례동맥류적환자식입복막지가후균립즉격절,무내루,지가식입동맥원단혈류통창,9례협착혹폐새적병변지가식입후,병변혈관원단혈류통창,6례창상환자식입지가후유효격절혈관파구；소유23례환자중,1례실방,기여적평균수방시간13.6개월。수방22례효과량호,무지가내혈전형성、무이위、무지가내협착등병발증。결론소구경복막지가용우주위혈관질병유기미창성、쾌속성、급근기료효학절,특별시재일사특수정황하기도료비체대적작용,단시원기료효유대진일보관찰。
Objective To investigate the application value of small covered stent in treatment of arterial disease. Methods The clinical data of 23 patients undergoing implantation of small covered stent for artery related disease from December 2011 to March 2013 were retrospectively analyzed. 28 small covered stents were set to all patients, the use of stents in diameter 6 ~ 12mm. Results All cases, iliac artery aneurysm (1 case), superior mesenteric artery aneurysm(2 cases), subclavian pseudoaneurysm (2 cases), femoral artery pseudoaneurysm(3 cases), subclavian artery stenosis(3 cases), occlusion of the iliac artery stenosis (6 cases), iliac artery and femoral artery acute traumatic injury(6 cases). Stent technical success rate of 100% , 8 cases of aneu-rysms in patients after stenting were immediately isolated, no endoleaks, distal arterial blood flow, nine cases of stenosis or occlu-sion of the lesion after stenting, lesion distal blood flow, six cases of trauma patients after stenting effectively isolated from blood vessels break; All 23 patients, one patient was lost, and the rest average follow-up time of 13. 6 months. Followed up 22 cases to good effect, no thrombosis, no shift, no restenosis and other complications. Conclusion Small covered stent for peripheral vascu-lar disease has its minimally invasive, fast, and recent efficacy, especially in some special circumstances played a role in non-substitution, but long-term effect needs further observation.