Excimer laser atherectomy combined with drug-eluting balloon for lower limb arteriosclerosis obliterans
10.3760/cma.j.issn.1007-631X.2019.08.005
- VernacularTitle:准分子激光斑块消蚀联合药物涂层球囊处理下肢动脉硬化闭塞症
- Author:
Yongpeng DIAO
1
;
Shuping TAN
;
Yong LAN
;
Peng LI
;
Jiyang WANG
;
Guodong YE
;
Dajun LI
;
Yongjun LI
Author Information
1. 北京医院血管外科 国家老年医学中心 北京协和医学院
- Keywords:
Laser,excimer;
Arteriosclerosis obliterans;
Atherectomy;
Drug-coated balloon;
Angioplasty
- From:
Chinese Journal of General Surgery
2019;34(8):663-666
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the efficacy of excimer laser atherectomy (ELA) combined with drug-coated balloon (DCB) in the treatment of lower limb arteriosclerosis obliterans.Methods From Sep 2016 to Dec 2018 42 patients (42 limbs) underwent ELA combined with DCB therapy.Results There were 27 males and 15 females.The mean age was (65.7 ±9.7) years.The average lesion length was (14.3 ±7.5) cm.The technical success rate was 100% and the remission rate of clinical symptoms was 92.9%.Ankle-brachial index was significantly improved from (0.45 ± 0.15) pre-operation to (0.85 ± 0.13) postoperation (P =0.001).The mean follow-up was 10.9 months.At 3,6,and 12 months follow-up,the primary patency rate was 95.2%,92.8% and 84.9%.The 1-year limb salvage rate was 95.2%.Conclusion ELA combined with DCB has a good 1-year results as our data reveal.