The efficacy of combined procedures for arteriosclerosis obliterations
10.3969/j.issn.1006-5725.2016.08.033
- VernacularTitle:复合技术治疗下肢动脉硬化疗效分析
- Author:
Fei WU
;
Junchao LIU
;
Luobo WANG
;
Yu DING
;
Panfeng LI
;
Yang LI
;
Bing WANG
- Publication Type:Journal Article
- Keywords:
Arteriosclerosis obliterations;
Hybrid procedures;
Patency rate
- From:
The Journal of Practical Medicine
2016;32(8):1308-1310
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the treatment of multifocal lower extremity arteriosclerosis oblitera-tions. Methods From March 2014 to September 2014, combined procedures were performed on 30 lower limbs in 30 patients with multifocal lower extremity arteriosclerosis obliterations for revascularization. All the patients underwent endovascular , 20 of whom received endarterectomy , 10 received artery emboloctomy , and 8 received profundaplasty. The rates of technical success and clinical success were observed. The patients were followed up for 6-12 months to observe the total patency rate and rate of limb reservation. Results The technical success rate was 100%. The perioperative complication rate was 30% (9/30). 29 limbs gained improvement with differ-ent degree and the clinical success rate was 96.67% (29/30). The ankle-brachial index elevated 0.37 ± 0.19 on average (P < 0.001). Primary patency rate was 90% and 73% at 6 and 12 months, and 12-month limb reserva-tion rate was 97.67%. Conclusions The combined procedures for complex lower extremity arteriosclerosis oblit-erations have a higher short- to mid-term patency rate and limb reservation rate.
