临床荟萃
臨床薈萃
림상회췌
Clinical Focus
2015年
11期
1283-1287
,共5页
斑块,动脉粥样硬化%闭塞性动脉硬化%机械溶栓
斑塊,動脈粥樣硬化%閉塞性動脈硬化%機械溶栓
반괴,동맥죽양경화%폐새성동맥경화%궤계용전
plaque,atherosclerotic%arteriosclerosis obliterans%mechanical thrombolysis
目的：评价动脉接触性溶栓(intraarterial catheter directed thrombolysis,ICDT)联合球囊扩张(PTA)、导管取栓等综合腔内技术在急慢性下肢动脉血栓栓塞治疗中的作用。方法回顾性分析2011年4月至2015年4月我院收治的下肢动脉急慢性血栓、栓塞患者共26例,采取 ICDT 为基础,联合 PTA、导管取栓等多种腔内技术治疗,评价技术成功率及近中期疗效。结果26例共28条肢体,3例急性血栓患者血栓完全溶解,5例6条下肢急性栓塞患者联合 PTA 和(或)导管取栓再通成功,18例19条下肢二期行腔内血管重建,17例成功,共植入21枚支架,1例失败,治疗总有效率96.4%(27/28)。结论以 ICDT 为基础,联合 PTA、导管取栓等综合腔内技术对于下肢急慢性血栓治疗安全有效,对动脉闭塞症伴血栓形成的复杂病变可以降低手术难度,提高腔内治疗成功率。
目的：評價動脈接觸性溶栓(intraarterial catheter directed thrombolysis,ICDT)聯閤毬囊擴張(PTA)、導管取栓等綜閤腔內技術在急慢性下肢動脈血栓栓塞治療中的作用。方法迴顧性分析2011年4月至2015年4月我院收治的下肢動脈急慢性血栓、栓塞患者共26例,採取 ICDT 為基礎,聯閤 PTA、導管取栓等多種腔內技術治療,評價技術成功率及近中期療效。結果26例共28條肢體,3例急性血栓患者血栓完全溶解,5例6條下肢急性栓塞患者聯閤 PTA 和(或)導管取栓再通成功,18例19條下肢二期行腔內血管重建,17例成功,共植入21枚支架,1例失敗,治療總有效率96.4%(27/28)。結論以 ICDT 為基礎,聯閤 PTA、導管取栓等綜閤腔內技術對于下肢急慢性血栓治療安全有效,對動脈閉塞癥伴血栓形成的複雜病變可以降低手術難度,提高腔內治療成功率。
목적：평개동맥접촉성용전(intraarterial catheter directed thrombolysis,ICDT)연합구낭확장(PTA)、도관취전등종합강내기술재급만성하지동맥혈전전새치료중적작용。방법회고성분석2011년4월지2015년4월아원수치적하지동맥급만성혈전、전새환자공26례,채취 ICDT 위기출,연합 PTA、도관취전등다충강내기술치료,평개기술성공솔급근중기료효。결과26례공28조지체,3례급성혈전환자혈전완전용해,5례6조하지급성전새환자연합 PTA 화(혹)도관취전재통성공,18례19조하지이기행강내혈관중건,17례성공,공식입21매지가,1례실패,치료총유효솔96.4%(27/28)。결론이 ICDT 위기출,연합 PTA、도관취전등종합강내기술대우하지급만성혈전치료안전유효,대동맥폐새증반혈전형성적복잡병변가이강저수술난도,제고강내치료성공솔。
ABSTRACT:Objective To evaluate the clinical efficacy of intraarterial catheter-directed thrombolysis (ICDT) combined with balloon dilation (PTA)and transcatheter thrombectomy in the treatment of acute and chronic lower limb arteriosclerosis obliterans.Methods A total of 26 patients with lower limb arteriosclerosis obliterans receiving intraarterial catheter-directed thrombolysis (ICDT)combined with balloon dilation and transcatheter thrombectomy from April 201 1 to April 201 5 were analyzed retrospectively.Technique success rate and early and medium - term effect were evaluated.Results Technologic achievement ratio was 96.43% for 28 limbs of 26 cases (27/28 ).The thrombus was completely dissolved in 3 cases with acute thrombsis.Recanalization was successfully performed in 6 lower limbs of 5 cases with acute thrombsis by ICDT combined with PTA and transcatheter thrombectomy.The secondary lumen vascular remodeling was done in 1 9 lower limbs in 18 cases and 21 stents were implanted in 1 7 cases. Conclusion ICDT combined with balloon dilation and transcatheter thrombectomy is considered a safe and effective treatment on acute and chronic lower extremity arterial thrombosis,can reduce difficulty of operation and improve endovascular treatment success rate for arterial occlusive disease with thrombosis.
