Interventional treatment of lower extremity arteriosclerosis obliterans
10.3760/cma.j.issn.1007-631X.2014.03.012
- VernacularTitle:下肢动脉硬化闭塞症介入治疗及并发症分析
- Author:
Qiang GUAN
;
Hongyong DUAN
;
Ning LIANG
;
Xiaofei YANG
;
Feng HAN
;
Zengqing LIU
- Publication Type:Journal Article
- Keywords:
Arterial occlusive diseases;
Postoperative complications;
Lower extremity;
Stents
- From:
Chinese Journal of General Surgery
2014;29(3):203-206
- CountryChina
- Language:Chinese
-
Abstract:
Objective To summarize the clinical efficacy of interventional treatment for lower extremity arteriosclerosis obliterans and its complications.Methods We analyzed sixty-nine patients with lower extremities arteriosclerosis obliterans undergoing interventional treatment from October 2011 to January 2013.During the same period,three patients were referred to us who suffered from the complications of interventional treatment.In these patients,eight were TASC ⅡA type,twenty-one were TASC Ⅱ B,twenty TASC Ⅱ C,and twenty-two TASC Ⅱ D lesions.All patients received CTA or DSA.Seventy patients were treated by interventional treatment,and two who had fractured stent underwent external iliacsuperficial femoral artery bypass grafting using artificial grafts.Results The technique success rate was 100％.The symptoms disappeared after surgery.During interventional treatment,one iliac artery ruptured,one patient suffered from arterial perforation and three patients suffered from distal embolization.Sixty-eight patients were followed-up for 9 ± 4 months.Conclusions Endovascular treatment has good early clinical efficacy.In order to reduce the incidence of complications,indication of interventional treatment should be controlled strictly and manipulation should be careful.
