摘要
目的 探讨股-腘动脉闭塞症患者腔内介入治疗逆行穿刺的再通成功率及临床应用价值。方法 回顾性分析16例股-腘动脉闭塞症患者的临床资料。当顺行开通失败后,在DSA和/或超声引导下逆行穿刺病变远端动脉,逆行或双向突破完成腔内再通治疗,评价逆行穿刺技术的再开通成功率,并观察手术并发症情况。结果 本组16例患者逆穿技术成功率及再通治疗成功率均为100%。患者术前平均踝臂指数（ankle brachial index,ABI）0.329±0.109,术后5~7天平均ABI值0.693±0.122,有显著统计学差异（t=12.381,P〈0.01）;腘动脉穿刺点出血1例,并发症发生率6.25%（1/16）。结论 股-腘动脉闭塞症逆行开通成功率高,并发症少,可作为股腘动脉顺行再通失败患者的首选补救术式,能有效提高腔内治疗成功率。
Objective To investigate the mechanical of retrograde puncture technique in the success rate of recanalization, and clinical application value in femoral-popliteal artery occlusion. Methods We retrospectively observed 16 patients in femoral- popliteal artery occlusive disease. After the failure of the antegrade approach, guided by the DSA and/or ultrasound, the skills of retrograde puncture or two-way breakthrough were applicable to puncture the distal artery of the lesion, and the endovascular treat- ments were accomplished. The success rate of recanalization and complication of the operation were evaluated. Results The pri- mary technical success of retrograde puncture and recanalization were 100% in all patients. The average preoperative ankle-bra- chial index （ABI） was 0. 329 ± 0. 109 and that was 0. 693 ± 0. 122 5 ~ 7 days after endovascular treatment, there was a significant difference （ t = 12. 381, P 〈0.01 ） compared with before and after treatment. There was 1 case of puncture site bleeding in pop- liteal artery, the rate of complication was 6.25% （1/16）. Conclusion Retrograde puncture technique can effectively improve the success rate of endovascular treatment, less complication and serve as a first selected approach when via antegrade recanaliza- tion was failed.
出处
《医学影像学杂志》
2016年第9期1690-1693,共4页
Journal of Medical Imaging
基金
河北省邢台市科学技术研究与发展计划(编号:2013ZZ031-11)
关键词
动脉闭塞症
逆行穿刺
踝臂指数
并发症
介入治疗
Arterial occlusive disease
Retrograde puncture
Anklearm index
Complication
