CAJ | 학술논문

目的：探讨VIABAHN覆膜支架对下肢动脉硬化闭塞症的中短期疗效。方法53例下肢动脉硬化闭塞症患者，其中22例行VIABAHN覆膜支架治疗（支架组），31例行传统股-腘搭桥手术（搭桥组），分析2组术后3、6个月的通畅率。结果搭桥组术后3、6个月通畅分别为28例（90.3%）、26例（83.9%）。支架组术后3、6个月通畅分别为22例（100%）、21例（95.5%）。2组术后3、6个月通畅率差异无统计学意义（χ2分别为0.808和0.760，P>0.05）。结论 VIABAHN覆膜支架可作为近关节下肢动脉硬化闭塞症的首选治疗方法。
목적：탐토VIABAHN복막지가대하지동맥경화폐새증적중단기료효。방법53례하지동맥경화폐새증환자，기중22례행VIABAHN복막지가치료（지가조），31례행전통고-객탑교수술（탑교조），분석2조술후3、6개월적통창솔。결과탑교조술후3、6개월통창분별위28례（90.3%）、26례（83.9%）。지가조술후3、6개월통창분별위22례（100%）、21례（95.5%）。2조술후3、6개월통창솔차이무통계학의의（χ2분별위0.808화0.760，P>0.05）。결론 VIABAHN복막지가가작위근관절하지동맥경화폐새증적수선치료방법。
Objective To evaluate short and medium term therapeutic effects of VIABAHN-covered stent in treat-ment of arteriosclerosis obliterans in lower extremity. Methods Among all 53 cases of arteriosclerosis obliterans in lower extremity with C/D TASC levels, 22 patients underwent VIABAHN-covered stent (stent group), while the other 31 patients were treated with femoral-popliteal artery bypass grafting surgery (graft group). The arterial patency rates were analyzed 3 and 6 months after the two different surgeries. Results The number of arterial patency cases were 28 (90.3%) at 3 months and 26 (83.9%) at 6 months in stent group while it is 22 (100%) at 3 months and 21 (95.5%) at 6 months in graft group. There were no significant differences in the arterial patency rate at 3 months and 6 months between the two different surger-ies (χ2 is 0.808 and 0.760 respectively, P>0.05). Conclusion VIABAHN-covered stent can be used as the preferred treat-ment for arteriosclerosis obliterans of lower extremity.