Combination of catheter directed thrombolysis and artery angioplasty for the treatment of chronic long superficial femoral artery occlusion
10.3760/cma.j.issn.1007-631X.2014.09.013
- VernacularTitle:导管直接溶栓联合动脉成形术治疗慢性股浅动脉闭塞症
- Author:
Junjie HUANG
;
Xiujun ZHANG
;
Jing ZHANG
- Publication Type:Journal Article
- Keywords:
Arteriosclerosis obliterans;
Angioplasty,balloon;
Thrombolytic therapy;
Stents
- From:
Chinese Journal of General Surgery
2014;29(9):704-707
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate intra-arterial catheter directed thrombolysis in combination with artery angioplasty for chronic long superficial femoral artery occlusion.Methods Clinical data were reviewed on patients of chronic long superficial femoral artery occlusion treated by endovascular therapy from September 2010 to September 2012.In 19 patients,catheter-directed thrombolysis was initially carried out,which was followed by endovascular angioplasty balloon dilatation or stent placement.The other 37 patients were treated by upfront endovascular angioplasty balloon dilatation or stent placement.Results In the thrombolysis group,the occluded length of the artery before and after thrombolysis was (16 ± 5) mm and (10 ± 6) mm(t =3.598,P ＜ 0.05).The length and the number of stents used in thrombolysis group was lower than stent group [(10±5) cm、(1.6±0.8) vs.(12±4) cm、(2.1 ±0.7),t=2.102,P＜0.05].There were no significant difference in primary patency rate assisted,primary patency rate and secondary patency rate between thrombolysis group and stent group.Conclusions For patients of chronic long superficial femoral artery occlusion,a successful catheter directed thrombolysis with artery angioplasty reduces the number of stents for angioplasty.
