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《Chinese Journal of General Surgery》 2010-06
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Endovascular treatment for aorto-iliac occlusive disease

QI Jiaxin1,ZOU Ping2,JIN Xing1,ZHANG Shiyi1,YUAN Hai1,ZHANG Jingyong1,HUANG Junrong1,ZHANG Lei1(1.Department of Vascular Surgery,Affiliated Provincial Hospital,Shandong University,Jinan 250021,China;2.Jinan International Airport Emergency Center,Jinan 250107,China)  
Objective To explore the effect of endovascular treatment for aorto-iliac occlusive disease (AIOD).Methods The clinical data of 113 patients with AIOD,who underwent endovascular treatment,were retrospectively analyzed.The patients’mean age was 62.5 years (range,45 to 81 years);79 patients (69.9%) were men and 39 women.According to the Trans Atlantic Inter-Society Consensus classfication,type A,B,C and D disease was respectively present in 37.17%,34.51%,11.50% and 16.81% of patients.With the approach from femoral artery or brachial artery,combined techniques,such as recanalization,balloon dilation,stent placement and concomitant common femoral endarterectomy,were applied in the treatment.Results Technical success was achieved in 107 patients(94.7%).Clinical status was moderately improved in 39 cases and markedly improved in 68 cases.Mean time of follow-up was (26±2.3) months.At 6 months,primary patency of the occlusive artery was 82.76%,and secondary patency was 92.31%.At 12 months,primary patency was 76.21%and secondary patency was 81.67%.At 24 months,primary patency was 67.66% and secondary patency was 73.62%.Conclusions Combined multiple endovascular techniques are safe and effective methods in treatment of aortoiliac occlusive disease.
【Fund】: 山东省自然科学基金资助项目(Y2003C06)
【CateGory Index】: R654.3
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