摘要
目的评估腔内成形术治疗锁骨下动脉狭窄的安全性及有效性。方法回顾分析2010年1月至2015年12月于本科93例接受腔内治疗的锁骨下动脉狭窄患者临床资料及随访情况。结果总计97处（93例）病变，成功开通95处（91例）病变，技术成功率97．9％，临床有效率97．8％。无手术相关死亡，术中2例出现夹层，1例术后出现小脑少量出血。随访时间12—60（中位数36）个月。9例病变再狭窄。5年通畅率81．0％。结论腔内治疗锁骨下动脉狭窄是安全、有效的方法，应该作为锁骨下动脉狭窄治疗的第一选择。
Objective To evaluate the safety and efficacy of the endovascular treatment of subcla- vian artery stenosis. Methods From January 2010 to December 2015, the clinical data of 93 patients with subclavian artery stenosis were analyzed retrospectively. All the patients were received angiography and en- dovascular treatment. Results The technical success rate was 97.9%. Clinical symptom remission rate was 97.8% after the treatment. There was no procedure related death. During the procedure, limited arterial dissection was encountered in two cases. One patient had minor cerebellar hemorrhage. The follow-up time was 12 to 60 months. Median follow-up time was 36 months. Restenosis was occurred in nine eases. The patency rate of 5 years was 81.0%. Conclusions Endovascular treatment was a safe and effective treatment as the result of our data. It should be used as the preferred treatment of choice for subclavian artery stenosis.
出处
《中国医师杂志》
CAS
2016年第11期1622-1625,共4页
Journal of Chinese Physician
