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《Contemporary Medicine》 2010-05
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The preliminary study on interventional treatments for atheroslerosis obliterans in femoropopliteal arteries

ZHAI Shui-ting,LI Tian-xiao,ZONG Deng-wei,CAO Hui-cun,WANG Zi-liang,BAI Wei-xing,LIU Jian-wen.The Department of Interventional Radiology,Henan Province Peoples' Hospital 450003,China  
Objective To explore the technical methods and clinical efficacy of interventional treatments on atheroslerosis obliterans of femoropopliteal arteries.Methods Forty-three patients with thirty-six stenosis changes and twenty-two occlusive changes received interventional treatments including percutaneous transluminal angioplasty(PTA),implantation of stent(IS),subintimal angioplasty(SIA) and mechanical thrombectomy(MTE).Results 8 changes with simple PTA and 17 with ally of IS(15 self-expandable stents and 4 recoiling stents),6 changes with simple MTE and 12 changes with ally of IS(15 self-expandable stents and 2 recoiling stents),3 changes with simple SIA and 8 changes with ally of IS(13 self-expandable stents and 2 recioling stents).In 53 successfully treated changes,there were 30 changes with relief of symptoms and signs,18 cases with obvious improvement,and 5 changes without any improvement.But 4 cases received operation to relieve the tension of lower extremities from ischemia-reperfusion injury and 2 cases received amputation.All the patients were followed-up for 2-33 months(mean 10.5 months).Among them,two cases with restenosis did not receive any interventional recanalization after 6 months and one case with restenosis after simple PTA successfully received IS.Conclusion Various interventional treatments have respective strong points to treat different atheroslerosis obliterans of arteries.Comprehensive application of them can be a safe and effective method for atheroslerosis obliterans of femoropopliteal arteries.
【CateGory Index】: R543.5
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