外周血管病变支架的应用(摘要)
Stents Used in the Peripheral Arterial Disease （Abstract）出 版 物：《中国循环杂志》 (Chinese Circulation Journal)
年 卷 期：1999年第14卷第S1期
页 面：106-107页
核心收录：
学科分类：1002[医学-临床医学] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学]
摘 要：Objective : The occlusion lesion of peripheral artery was often found in clinic- From October 1995 to June 1999 , we performed percutaneous transluminal angioplasty (PTA) and implanted stents in 16 cases with occlusion lesion of peripheral artery to observe the efficacy of stents in the occlusion lesion of peripheral artery- Methods:16 cases (12 males and 4 females , mean age of 46 years) with aorto arteritis in 7 and atherosclerosis in 9 underwent- Peripheral angiograph by JR4 catheter to determine the stenosis degree of arterial lesion- Before PTA, Aspirin 300 mg was taken and heparin 10 000 U was injected from the catheter- When 0-035 inch straight wire passed the occlusion or stenosis of artery ,the balloon catheter (diameter 6 ～8 m m with length 30 ～60 m m) was pushed to the targetlesion ,and expanded the balloon with 4 ～6 atm- Afterthe procedure ,the Wallstent or NIRstent was placed- Wafarin 3 mg or Ticlid 500 mg was taken daily for one month- Results : The vascular angiograph showed thatlesions located in left subclavian artery in 4 cases with stenosis 70 % ～90 % ;In 6 cases ofrenal artery lesion ,one was left renal artery occlusion , two were bilateral renal stenosis ; In 4 cases of com mon iliac artery lesion ,two were bilateral occlusion ,and one was right occlusion ; Another 2 cases were total occlusion of femoral artery- We successfully revascularized 15 target lesions (success rate 93-7 % ) ,and 17 stents were successfullyimplanted- Patients were discharged about one week after PTA- Eight cases were followed up by peripheral angiograph 3 ～12 months after PTA- The vascular restenosis was found in 2 cases- Restenosis rate was 12-5 % - Conclusion : Endovascular stents can increase the instant success rate and decrease the restenosis rate of PTA- From our preliminary experience , stents used in peripheral arterial disease had both a good instant and long term effect-
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