| 范岳锋,洪俊谋,高阳.经股总动脉顺行入路血运重建及以ProGlide血管缝合器闭合穿刺点治疗下肢闭塞性动脉硬化[J].中国介入影像与治疗学,2025,22(12):759-763 |
| 经股总动脉顺行入路血运重建及以ProGlide血管缝合器闭合穿刺点治疗下肢闭塞性动脉硬化 |
| Anterograde revascularization via common femoral artery and puncture site closure with ProGlide vascular stapler for treating lower limb arteriosclerosis obliteran |
| 投稿时间：2025-09-20 修订日期：2025-11-10 |
| DOI：10.13929/j.issn.1672-8475.2025.12.002 |
| 中文关键词: 闭塞性动脉硬化 下肢 股动脉 血管闭合器 |
| 英文关键词:arteriosclerosis obliterans lower extremity femoral artery vascular closure devices |
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| 中文摘要: |
| 目的 观察经股总动脉（CFA）顺行入路血运重建及以ProGlide血管缝合器（简称ProGlide）闭合穿刺点治疗下肢闭塞性动脉硬化（ASO）的价值。方法 回顾性纳入145例接受经CFA顺行入路血运重建及以ProGlide闭合穿刺点的下肢ASO患者，观察血运重建及闭合穿刺点成功率、疗效及安全性，记录穿刺点出血等并发症并分析其危险因素。结果 对145例（145/145，100%）均成功完成血运重建；对143例（143/145，98.62%）成功以ProGlide闭合CFA顺行入路穿刺点、2例失败；未见靶血管夹层、动静脉瘘、靶血管闭塞及远端肢体缺血等。143例成功闭合CFA患者中，16例（16/143，11.19%）出现穿刺点出血；体质量指数（BMI）、CFA前壁广泛钙化及CFA深度均为穿刺点出血的独立危险因素（P均＜0.05）。结论 经CFA顺行入路血运重建及以ProGlide闭合穿刺点治疗下肢ASO效果及安全性均较佳，但用于BMI较高、CFA前壁广泛钙化及CFA位置较深者需注意穿刺点出血风险。 |
| 英文摘要: |
| Objective To observe the value of anterograde revascularization via the common femoral artery （CFA） and puncture site closure with ProGlide vascular stapler （abbreviated as ProGlide） for treating lower limb arteriosclerosis obliteran （ASO）. Methods Totally 145 lower limb ASO patients were retrospectively enrolled. The success rate， efficacy and safety of revascularization and puncture site closure were observed， complications such as puncture site bleeding were recorded， and the risk factors were analyzed. Results Revascularization was successfully performed in all 145 cases （145/145， 100%）. CFA anterograde approach closure with ProGlide was successfully performed in 143 cases （143/145， 98.62%）， but failed in 2 cases. No target vessel dissection， arteriovenous fistula， target vessel occlusion nor distal limb ischemia occurred. Among 143 cases of successful closure， puncture site bleeding happened in 16 cases （16/143， 11.19%）.Body mass index （BMI）， extensive calcification of CFA anterior wall and CFA depth were all independent risk factors of puncture site bleeding （all P＜0.05）. Conclusion Anterograde revascularization via CFA and puncture site closure with ProGlide was effective and safe for treating lower limb ASO， but attention should be paid to those with risk of puncture site bleeding， including high BMI， extensive calcification of CFA anterior wall and deep CFA position. |
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