潘涛,田诗云,张涛,刘震,李城,纪东华.Rotarex系统联合药物涂层球囊治疗股腘动脉长段支架内完全闭塞[J].中国介入影像与治疗学,2021,18(10):608-611
Rotarex系统联合药物涂层球囊治疗股腘动脉长段支架内完全闭塞
Rotarex system combined with drug-coated balloon in treatment of complete occlusion of femoropopliteal artery long segment stent
投稿时间:2021-05-08  修订日期:2021-07-13
DOI:10.13929/j.issn.1672-8475.2021.10.008
中文关键词:  外周血管疾病  股动脉  腘动脉  球囊  机械取栓
英文关键词:peripheral arterial disease  femoral artery  popliteal artery  balloon  mechanical thrombectomy
基金项目:
作者单位E-mail
潘涛 大连医科大学附属第一医院介入治疗科, 辽宁 大连 116011  
田诗云 大连医科大学附属第一医院放射科, 辽宁 大连 116011  
张涛 大连医科大学附属第一医院介入治疗科, 辽宁 大连 116011  
刘震 大连医科大学附属第一医院介入治疗科, 辽宁 大连 116011  
李城 大连医科大学附属第一医院介入治疗科, 辽宁 大连 116011  
纪东华 大连医科大学附属第一医院介入治疗科, 辽宁 大连 116011 nickji@126.com 
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中文摘要:
      目的 观察减容装置Rotarex系统联合药物涂层球囊(DCB)治疗股腘动脉(FPA)长段支架内完全闭塞的效果。方法 29例(29肢)FPA长段(病变长度>10 cm)支架内完全闭塞患者接受减容装置Rotarex联合DCB(紫杉醇)治疗;观察疗效及并发症,随访统计术后6、12个月一期通畅率和12个月避免靶血管重建(TLR)率。结果 29例治疗技术成功率为100%,无相关严重并发症;术后踝肱指数(ABI)较术前显著提高(t=-15.611,P<0.001)。6个月一期通畅率为86.21%(25/29),12个月一期通畅率为72.41%(21/29);12个月避免TLR率为79.31%(23/29);12个月随访期间无死亡或截肢事件发生。结论 Rotarex系统联合DCB治疗FPA长段支架内完全闭塞安全、有效。
英文摘要:
      Objective To observe the effect of volume reduction device Rotarex system combined with drug-coated balloon (DCB) in treatment of complete occlusion of femoropopliteal artery (FPA) long segment stent. Methods Twenty-nine patients (29 limbs) with complete occlusion in the long segment of FPA (length >10 cm) underwent treatment with Rotarex thrombus removal device combining DCB (Paclitaxel). The treatment effect and complications were observed, and the primary patency rate 6 and 12 months after operation, as well as the target lesion revascularization (TLR) avoidance rate at 12 months were followed up. Results The technical success rate was 100%, and no serious operation related complication occurred. The postoperative ankle-brachial index (ABI) was significantly higher than that before operation (t=-15.611, P<0.001). The primary patent rate at 6-month was 86.21% (25/29), at 12-month was 72.41% (21/29), and the 12-month TLR avoidance rate was 79.31% (23/29). No death or amputation occurred during 12 months' follow-up. Conclusion Rotarex system combined with DCB was safe and effective for treatment of FPA long segment stent complete occlusion.
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