Interventional treatment for the occlusion of aorto-iliac arteries
ZHANG Xi-tong *, XU Ke, LIN Wei, et al. *Department of Radiology, First Affiliated Hospital of China Medical University, Shenyang 110001, China
Objective To evaluate the interventional treatment and clinical effect of vascular occlusive pathological change of aorto-iliac arteries. Methods 9 cases (six male, three female) aged from 36 to 68 (mean 48.9)years old. All the cases were involved middle inferior segment of abdominal part of aorta and double iliac artery. There were 3 cases of type Ⅰ and six cases of type Ⅱ pathological changes. Among them,there were two cases whose three branches of renal arteries were involved. After angiography of abdominal part of aorta and iliac-femoral artery, we carried out canalization, thrombolysis, PTA and stent implantation by guidewire via femoral artery or humoral artery. Eight cases underwent thrombolysis with urokinese (60 000- 1 650 000 units, mean 1 100 000 units) and 7 cases underwent PTA and stent implantation(5 cases, 9 branches arteries). Results There were 3 cases failed with canalization,one case of aorta and iliac artery occlusion and two cases of iliac artery occlusion. Except that, 8 cases of abdominal part of aorta, 14 branches of iliac-femoral arteries and one case of renal artery were successed in canalization. Three cases did not receive stent implantation, their manifestations and signs became better partly, the other 5 cases improved obviously. The mean operation time was 3.2 hours. After operations, the mean time of stay in hospital was 11.3 days. Eight cases were followed-up for 4-46 (mean 15.5 )months after operation. There were no recrudescense. Conclusions Synthetical method of several interventional technique is effective for vascular pathological change of aorta-iliac artery.
【CateGory Index】： R543.5