王梦宇,王兵,吴斐,许恒,潘锦轩,卢维龙.SilverHawk斑块切除系统治疗膝下动脉硬化闭塞[J].中国介入影像与治疗学,2019,16(2):92-96
SilverHawk斑块切除系统治疗膝下动脉硬化闭塞
SilverHawk atherectomy in treatment of atherosclerotic occlusion of infrapopliteal artery
投稿时间:2018-07-24  修订日期:2018-12-11
DOI:10.13929/j.1672-8475.201807031
中文关键词:  动脉硬化,闭塞性  膝下动脉  斑块切除术
英文关键词:arteriosclerosis obliterans  inferior genicular artery  atherectomy
基金项目:河南省高等学校重点科研项目(16B320023)。
作者单位E-mail
王梦宇 郑州大学第五附属医院血管外科, 河南 郑州 450052  
王兵 郑州大学第五附属医院血管外科, 河南 郑州 450052 hnxgwk@126.com 
吴斐 郑州大学第五附属医院血管外科, 河南 郑州 450052  
许恒 郑州大学第五附属医院血管外科, 河南 郑州 450052  
潘锦轩 郑州大学第五附属医院血管外科, 河南 郑州 450052  
卢维龙 郑州大学第五附属医院血管外科, 河南 郑州 450052  
摘要点击次数: 1547
全文下载次数: 563
中文摘要:
      目的 探讨SilverHawk斑块切除系统治疗膝下动脉硬化闭塞的临床效果。方法 采用SilverHawk斑块切除系统治疗34例(39条患肢)膝下动脉硬化闭塞患者,观察治疗效果及随访结果。结果 患者围手术期无死亡。39条患肢中,31条(28例患者)顺行开通成功,8条(6例)逆行开通成功,治疗成功率100%(39/39),技术成功率92.31%(36/39)。术后1周患者跛行距离、趾肱指数(TBI)及踝肱指数(ABI)均高于术前(P均<0.05)。术后随访2~46个月,平均(23.63±9.71)个月,溃疡愈合率90.00%(9/10);4条坏疽患肢中,1条膝下截肢。术后6、12、24个月患肢一期通畅率分别为87.18%(34/39)、82.05%(32/39)及71.79%(28/39),二期通畅率分别为94.87%(37/39)、92.31%(36/39)和84.62%(33/39)。结论 采用SilverHawk斑块切除系统治疗膝下动脉硬化闭塞效果良好。
英文摘要:
      Objective To explore the therapeutic effect of SilverHawk atherectomy in the treatment of atherosclerotic occlusion of infrapopliteal arteries. Methods SilverHawk atherectomy was used to treat 34 patients (39 limbs) with atherosclerotic occlusion of infrapopliteal arteries. Then the therapeutic results and follow-up results were observed. Results There was no death during the perioperative period of SilverHawk atherectomy. Totally 31 limbs (28 cases) were treated antegradely, while 8 limbs (6 cases) were punctured retrogradely. The procedural success rate was 100% (39/39), and the technical success rate was 92.31% (36/39). One week after atherectomy, the claudication distance, toe brachial index (TBI) and ankle brachial index (ABI) were all higher than those before atherectomy (all P<0.05). All patients were followed up for 2 to 46 months (mean[23.63±9.71] months), the ulcer healing rate was 90.00% (9/10), and 1 of 4 gangrenous limbs underwent amputation below the knee. The primary patency rate at 6, 12, 24 months was 87.18% (34/39), 82.05% (32/39) and 71.79% (28/39), respectively, while the secondary patency rate was 94.87% (37/39), 92.31% (36/39) and 84.62% (33/39), respectively. Conclusion SilverHawk atherectomy is effective in treatment of atherosclerotic occlusion of infrapopliteal artery.
查看全文  查看/发表评论  下载PDF阅读器
关闭