Excimer laser atherectomy combined with drug-eluting balloon angioplasty for the treatment of chronic ischemia of lower limbs: preliminary results in three patients
10.3969/j.issn.1008-794X.2017.01.003
- VernacularTitle:准分子激光消蚀联合药物球囊治疗下肢动脉慢性缺血3例
- Author:
Yong-Quan GU
1
;
Lian-Rui GUO
;
Li-Xing QI
;
Shi-Jun CUI
;
Jian-Ming GUO
;
Xi-Xiang GAO
;
Zhu TONG
;
Yi-Xia QI
;
Cheng-Chao ZHANG
;
Zhong-Jian WU
;
Jian ZHANG
;
Zhong-Gao WANG
Author Information
1. 100053,北京 首都医科大学宣武医院血管外科、首都医科大学血管外科研究所
- Keywords:
laser atherectomy of atherosclerotic plaque;
drug-eluting balloon;
lower limb;
artery;
ischemia
- From:
Journal of Interventional Radiology
2017;26(1):10-14
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluated the safety and feasibility of excimer laser atherectomy (ELA) combined with drug-eluting balloon angioplasty in treating chronic ischemia of lower limbs.Methods ELA combined with paclitaxel-eluting balloon angioplasty was adopted to treat chronic ischemia of lower limbs caused by arteriosclerosis occlusive disease of lower extremity in three patients.All three patients had arteriosclerosis occlusive disease of superficial femoral artery;in two of them the disease was primary occlusive lesion and in another patient the disease was in-stent re-occlusion lesion after sten implantation.Results After the treatment,the blood flow in the diseased arteries was unobstructed,the blood supply of the lower limbs was obviously improved.No procedure-related complications occurred.Two weeks after the treatment,no recurrence of ischemic symptoms was observed,the blood flow in superficial femoral artery kept unobstructed.The patients recovered smoothly.Conclusion For the treatment of chronic ischemia of lower limbs,which are caused by the primary arteriosclerosis occlusive disease of lower extremity or by the in-stent re-occlusion lesion after sten implantation,ELA combined with paclitaxel-eluting balloon angioplasty is clinically safe and feasible,although its long-term effect needs to be clarified with more studies.
