Objective To study the effect of the intracavity thrombolysis, aspiration of debris, percutaneous transcathete angioplasty (PTA) and percutaneous transtuminl angioplasty and stenting (PTAS) on treating peripheral arterial obliterans disease (PAOD).
Methods From May 1994 to May 2008, interventional treatment was performed in 285 patients with PAOD. Intracavity thrombolysis and aspiration of debris were performed in 63 patients suffering from acute arterial occlusion. Intracavity thrombolysis and PTA were performed in 61 patients suffering from arteriostenosis combined with acute occlusion. Intracavity thrombolysis, PTA and PTAS were performed in 161 patients suffering from chronic arteriostenosis occlusion.
Results Total success rate was 98.25% (280/285). The success rate in intracavity thrombolysis and aspiration of debris was 96.83% (61/63), with 88.89% (56/63) of the blood vessels restored, 7.94% (5/63) of the blood vessels partially restored, and another 3.17% (2/63) failed. The success rate in intracavity thrombolysis and PTA was 85.25% (52/61). The success rate in PTA and PTAS was 98.14% (158/161). The total complication rate was 7.02% (20/285), of them the local thrombolysis and thromboclasis accounting for 7.94% (5/63), the local thrombolysis and PTA accounting for 14.75% (9/61), the PTA and stent implantation accounting for 3.73% (6/161). Conclusion Percutaneous transluminal treatment for stenotic and occlusive lesions of peripheral artery can effectively keep the blood vessel unobstructed for a long time and raise the haemodynamics index remarkably.
Citation：
ZHANG Xiquan ,LING Baocun,PAN Xiaolin,ZHU Wei,DONG Ge,GUO Feng. United Treatment of Interventional Technique for Peripheral Arterial Obliterans Disease. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2010, 17(2): 156-160. doi:
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Copyright © the editorial department of CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY of West China Medical Publisher. All rights reserved
| 1. |
武国, 丁小洁, 时德. 血管重建术后再狭窄的防治现状 [J]. 中国普外基础与临床杂志, 2008; 15(6): 418421.
|
| 2. |
Fontaine R, Kim M, Kieny R. Surgical treatment of peripheral circulation disorders [J]. Helv Chir Acta, 1954; 21(56): 499533.
|
| 3. |
史伟浩, 余波, 王铁平. 急性下肢缺血的外科治疗（附35例病例分析） [J]. 中国现代医学杂志, 2005; 15(4): 555557.
|
| 4. |
张健, 钟明惠, 张云强, 等. 导管血栓抽吸联合冠状动脉支架植入治疗急性心肌梗死 [J]. 中国介入影像与治疗学, 2006; 3(6): 406408.
|
| 5. |
马玉奎, 赵纪春, 黄斌, 等. 急性肢体动脉栓塞的治疗及其预后影响因素 [J]. 中国普外基础与临床杂志, 2007; 14(6): 689693.[6]Bookstein JJ, Valji K. Pulsespray pharmacomechanical thrombolysis [J]. Cardiovasc Intervent Radiol, 1992; 15(4): 228233.
|
| 6. |
王玉琦, 史振宇. 我国血管外科的现状与展望 [J]. 中国普外基础与临床杂志, 2008; 15(6): 387389.
|
| 7. |
刘昌伟. 下肢动脉硬化闭塞症的外科治疗 [J]. 临床外科杂志, 2006; 14(5): 265266.
|
| 8. |
王成刚, 吴丹明, 周玉斌, 等. 血管腔内支架成形术治疗下肢动脉硬化闭塞症45例 [J]. 中国微创外科杂志, 2006; 6(6): 461462.
|
| 9. |
Glasby MJ, Bolia A. Treatment of chronic mesenteric ischemia by subintimal angioplasty of an occluded superior mesenteric artery [J]. Eur J Vasc Endovasc Surg, 2007; 33(6): 676678.
|
| 10. |
Surmely JF, Tsuchikane E, Katoh O, et al. New concept for CTO recanalization using controlled antegrade and retrograde subintimal tracking: the CART technique [J]. J Invasive Cardiol, 2006; 18(7): 334338.
|
| 11. |
Surowiec SM, Davies MG, Eberly SW, et al. Percutaneous angioplasty and stenting of the superficial femoral artery [J]. J Vasc Surg, 2005; 41(2): 269278.
|
| 12. |
Muradin GS, Bosch JL, Stijnen T, et al. Balloon dilation and stent implantation for treatment of femoropopliteal arterial disease: metaanalysis [J]. Radiology, 2001; 221(1): 137145.
|
- 1. 武国, 丁小洁, 时德. 血管重建术后再狭窄的防治现状 [J]. 中国普外基础与临床杂志, 2008; 15(6): 418421.
- 2. Fontaine R, Kim M, Kieny R. Surgical treatment of peripheral circulation disorders [J]. Helv Chir Acta, 1954; 21(56): 499533.
- 3. 史伟浩, 余波, 王铁平. 急性下肢缺血的外科治疗（附35例病例分析） [J]. 中国现代医学杂志, 2005; 15(4): 555557.
- 4. 张健, 钟明惠, 张云强, 等. 导管血栓抽吸联合冠状动脉支架植入治疗急性心肌梗死 [J]. 中国介入影像与治疗学, 2006; 3(6): 406408.
- 5. 马玉奎, 赵纪春, 黄斌, 等. 急性肢体动脉栓塞的治疗及其预后影响因素 [J]. 中国普外基础与临床杂志, 2007; 14(6): 689693.[6]Bookstein JJ, Valji K. Pulsespray pharmacomechanical thrombolysis [J]. Cardiovasc Intervent Radiol, 1992; 15(4): 228233.
- 6. 王玉琦, 史振宇. 我国血管外科的现状与展望 [J]. 中国普外基础与临床杂志, 2008; 15(6): 387389.
- 7. 刘昌伟. 下肢动脉硬化闭塞症的外科治疗 [J]. 临床外科杂志, 2006; 14(5): 265266.
- 8. 王成刚, 吴丹明, 周玉斌, 等. 血管腔内支架成形术治疗下肢动脉硬化闭塞症45例 [J]. 中国微创外科杂志, 2006; 6(6): 461462.
- 9. Glasby MJ, Bolia A. Treatment of chronic mesenteric ischemia by subintimal angioplasty of an occluded superior mesenteric artery [J]. Eur J Vasc Endovasc Surg, 2007; 33(6): 676678.
- 10. Surmely JF, Tsuchikane E, Katoh O, et al. New concept for CTO recanalization using controlled antegrade and retrograde subintimal tracking: the CART technique [J]. J Invasive Cardiol, 2006; 18(7): 334338.
- 11. Surowiec SM, Davies MG, Eberly SW, et al. Percutaneous angioplasty and stenting of the superficial femoral artery [J]. J Vasc Surg, 2005; 41(2): 269278.
- 12. Muradin GS, Bosch JL, Stijnen T, et al. Balloon dilation and stent implantation for treatment of femoropopliteal arterial disease: metaanalysis [J]. Radiology, 2001; 221(1): 137145.
