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目的 :评估支架置入治疗上肢动脉狭窄的安全性及近中期疗效。 方法 :2 1例 2 3条严重狭窄的上肢动脉经股动脉和 (或 )肱动脉路径置入支架 ,并随诊观察手术的疗效。 结果 :支架置入术 (PTAS)均获成功 (10 0 % ) ,2 3处病变狭窄程度从术前的 (90± 6) %降至 (4± 7) % ,病变处血管直径从术前的 (0 7± 0 5 )mm升至 (6 7± 0 9)mm ,有非常显著差异 (P均 <0 0 0 0 1)。未发生严重的并发症。术后总显效率85 7% (18/2 1) ,有效率 14 3 % (3 /2 1)。术后随访 3～ 2 9(12 9± 7 7)个月 ,19例患者疗效稳定 ,2例大动脉炎患者 2条动脉再狭窄。 结论 :支架置入治疗上肢动脉狭窄安全 ,近中期疗效好。
Objective: To assess the safety and near-mid-term efficacy of stent placement in the treatment of upper extremity arterial stenosis. Methods: Twenty-three patients with severe stenosis of the upper extremity artery were placed in the stent through the femoral artery and / or brachial artery, and the curative effect of the operation was observed. Results: All patients underwent stent placement (PTAS) successfully (100%). The severity of stenosis at 23 lesions decreased from (90 ± 6)% to (4 ± 7)% at preoperative (0 7 ± 0 5) mm to (6 7 ± 0 9) mm, there was a significant difference (all P <0 0 0 0 1). No serious complications occurred. After operation, the total effective rate was 85.7% (18/2) and the effective rate was 14.3% (3/21). The patients were followed up for 3 to 29 (12 9 ± 7 7) months. The efficacy of 19 patients was stable and 2 arteries of 2 patients with arteritis were restenosed. Conclusion: Stenting is safe for the treatment of upper extremity arterial stenosis with good efficacy in the near and mid-term.