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VIABAHN支架治疗下肢动脉闭塞的效果分析

宋庆宏   

  1. 天津市人民医院
  • 收稿日期:2013-10-22 修回日期:2014-04-27 出版日期:2014-08-15 发布日期:2014-08-15
  • 通讯作者: 宋庆宏

Effects of VIABAHN-covered stent and bypass in treatment of lower limb arteriosclerosis occlusion

Qinghong SONG   

  1. Department of Vascular Surgeon Tianjin People’s Hospital, Tianjin300121, China
  • Received:2013-10-22 Revised:2014-04-27 Published:2014-08-15 Online:2014-08-15
  • Contact: Qinghong SONG

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摘要： 摘要: 目的   探讨VIABAHN覆膜支架对下肢动脉硬化闭塞症的中短期疗效。方法   53例TASC分级C/D级的下肢动脉硬化闭塞症患者，其中22例行VIABAHN覆膜支架治疗（支架组），31例行传统股-腘搭桥手术（搭桥组），分析2组术后3、6个月的通畅率。结果   搭桥组术后3、6个月通畅分别为28例（90.3%）、26例（83.9%）。支架组术后3、6个月通畅分别为22（100%）、21例（95.5%）。2组术后3、6个月通畅率差异无统计学意义（χ2 分别为0.808和0.760，P > 0.05）。结论   VIABAHN覆膜支架可作为近关节下肢动脉硬化闭塞症的首选治疗方法。

关键词: 动脉硬化 闭塞性, 下肢, VIABAHN覆膜支架, 血管腔内成型术, 膨体聚四氟乙烯

Abstract: [Abstract] Objective   To evaluate the short and medium term therapeutic effects of VIABAHN-covered stent in treatment of arteriosclerosis obliterans of lower extremity. Methods   Of 53 arteriosclerosis obliterans of lower extremity cases with C/D TASC levels, 22 was performed VIABAHN-covered stent (stent group), while 31 were treated by femoral-popliteal artery bypass grafting surgery (graft group). The arterial patency rates were analyzed 3 and 6 months after the two different surgeries. Results   The arterial patency cases were 28 (90.3%) at 3 months and 26 (83.9%) at 6 months in stent group while 22 (100%) at 3 months and 21 (95.5%) at 6 months in graft group. There were no significant differences according to the arterial patency rate at 3 months and 6 months between the two different surgeries (χ2 is 0.808 and 0.760 respectively, P>0.05). Conclusion   VIABAHN-covered stent can be used as the preferred treatment for arteriosclerosis obliterans of lower extremity.

Key words: arteriosclerosis obliterans, lower extremity, viabahn stent, percutaneous transluminal angioplasty, expanded polytetrafluoroethylene