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: |
|
摘要点击次数: 713 |
全文下载次数: 289 |
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. |
查看全文 查看/发表评论 下载PDF阅读器 |
关闭 |