CAJ | 학술논문

目的：评价同期介入治疗冠心病合并锁骨下动脉硬化闭塞症的疗效和安全性。方法于2008年1月至2012年12月，对16例冠心病合并锁骨下动脉硬化闭塞症（动脉管腔狭窄至少70％）确诊患者同期行锁骨下动脉及冠状动脉介入治疗，先行球囊血管成形术，再植入支架。在术后6个月和12个月随访时，分别进行彩色超声和血管造影检查，评估再狭窄情况和临床疗效。结果16例患者共计38处动脉狭窄病变，均成功进行了经皮介入治疗，无严重并发症发生。术后彩色超声及血管造影检查均未见动脉管腔再狭窄。结论采用同期介入治疗的方法治疗冠心病合并锁骨下动脉硬化闭塞症，具有微创、效果好、并发症少等优点，可作为临床重要的治疗方法。
목적：평개동기개입치료관심병합병쇄골하동맥경화폐새증적료효화안전성。방법우2008년1월지2012년12월，대16례관심병합병쇄골하동맥경화폐새증（동맥관강협착지소70％）학진환자동기행쇄골하동맥급관상동맥개입치료，선행구낭혈관성형술，재식입지가。재술후6개월화12개월수방시，분별진행채색초성화혈관조영검사，평고재협착정황화림상료효。결과16례환자공계38처동맥협착병변，균성공진행료경피개입치료，무엄중병발증발생。술후채색초성급혈관조영검사균미견동맥관강재협착。결론채용동기개입치료적방법치료관심병합병쇄골하동맥경화폐새증，구유미창、효과호、병발증소등우점，가작위림상중요적치료방법。
Objective To evaluate the therapeutic effects and safety of simultaneous interventional therapy in patients combined with coronary artery disease (CHD) and subclavian arteriosclerosis obliterans (SAO) .Methods From January 2008 to December 2012 ,a total of 16 patients combined with CHD and SAO (degree of stenosis at least 70% ) were enrolled and treated with simultaneous interventional therapy ,including balloon angioplasty and stent im-plantation .Color ultrasound and angiography examination were performed at 6 months and 12 months after treatment respectively to evaluate restenosis and therapeutic effects .Results Simultaneous transcatherter therapy was success-fully performed in all 16 patients ,including a total of 38 lesions ,and no serious concurrent symptoms was found . Restenosis of artery was not found by postoperative color ultrasound and angiography examination .Conclusion Sim-ultaneous transcatheter therapy might be minimally invasive ,effective and with fewer complications in the treatment of CHD combined with SAO ,which could be an important treatment method .