自膨式金属裸支架治疗急性肱动脉损伤的临床疗效

发布时间：2018-03-06 00:27

本文选题：血管系统损伤　切入点：肱动脉　出处：《中国普通外科杂志》2017年06期 　论文类型：期刊论文

【摘要】：目的:探讨自膨式金属裸支架治疗急性肱动脉损伤的安全性及临床效果。方法:回顾性分析18例急性肱动脉损伤患者资料。所有患者均接受急诊血管造影以明确诊断,行血管成形术及自膨式裸支架植入治疗。结果:18例急性肱动脉损伤的患者的手术技术成功率100%,平均手术时间为50(30~90)min。13例接受单层自膨式裸支架置入,5例接受双支架重叠置入术,共置入23枚自膨式裸支架,支架置入后即刻造影显示损伤肱动脉血流恢复通畅,假性动脉瘤消失,未见支架狭窄及对比剂外溢。无围手术期死亡和严重并发症发生。18例平均随访20.2个月,17例支架内血流完全通畅或轻度狭窄(未作处理),1例支架腔内狭窄50%,行球囊扩张治疗后支架内血流恢复通畅;随访期间无支架移位、扭曲及断裂,无缺血坏死,截肢情况。结论:自膨式金属裸支架植入治疗急性肱动脉损伤是安全可行的,近中期效果满意。
[Abstract]:Objective: to investigate the safety and clinical effect of self-expandable bare metal stent in the treatment of acute brachial artery injury. Methods: the data of 18 patients with acute brachial artery injury were retrospectively analyzed. Results among 18 patients with acute brachial artery injury, the successful rate of operation was 100, and the average operative time was 50 ~ 3090 min. 13 cases received single layer self-expandable bare stent implantation and 5 cases received double stent overlapping implantation. A total of 23 self-expandable bare stents were implanted. Immediately after implantation, the blood flow of the injured brachial artery recovered and the pseudoaneurysm disappeared. No stent stenosis and contrast media spillover. No perioperative death and severe complications. 18 cases were followed up for an average of 20.2 months. 17 cases had complete flow patency or mild stenosis. After dilatation, the blood flow in the stent recovered unobstructed. There was no stent displacement, distortion and rupture, no ischemic necrosis, amputation during follow-up. Conclusion: Self-expandable bare metal stent implantation is safe and feasible for the treatment of acute brachial artery injury, and the effect is satisfactory in the near and medium term.
【作者单位】：中国人民解放军第一四八医院全军腔内介入诊疗中心;
【基金】：军队后勤科研计划资助项目(CJN14J010)
【分类号】：R654.4

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