Composite therapy for critical extremity multilevel atherosclerotic occlusive disease
WANG Rui-hua,JIN Xing,WU Xue-jun,et al.(Department of Vascular Surgery,Shandong Provincial Hospital,Jinan 250021,China)
Objective To study the composite therapy for multilevel atherosclerotic occlusive disease.Methods From March 2004 to December 2005,intraoperative iliac angioplasty and stenting combined with simultaneous vascular surgery and postoperative autologous bone stem cell transplantation were performed on 17 patients with critical multilevel atherosclerotic occlusive disease.Mean preoperative ankle-brachial index (ABI) was 0.26±0.13.Results Surgical procedures were technically successful in all patients.There was no severe postoperative morbidity or mortality.Postoperative ABI was 0.64±0.17 (P0.05).During the period of follow-up,no patients had rest pain.Four patients had intermittent claudication and 3 of them were subjected to autologous bone stem cell transplantation 3 monthes after the operation.Conclusion Simultaneous intravascular interventional therapy combined with vascular surgery are effective in patients with severe and multilevel atherosclerotic occlusive disease.Preoperative assessment of the disease is important.
【CateGory Index】： R654.4