2018 年第 7 期 第 13 卷

远端保护装置在髂动脉闭塞病变腔内治疗中的作用

Effect of distal embolic protection device on endovascular revascularization of iliac artery occlusion

作者：何楠张腾飞唐小斌王晓娜寇镭王盛吴章敏刘晖吴小凡陈忠

英文作者：

单位：100029首都医科大学附属北京安贞医院血管外科

英文单位：

关键词：髂动脉闭塞病变；栓塞；远端保护装置；腔内治疗

英文关键词：

• 摘要：

• 【摘要】目的    探讨远端保护装置在髂动脉闭塞病变腔内治疗中的作用。方法    收集2015年3月至2017年10月于首都医科大学附属北京安贞医院接受血管腔内治疗并使用远端保护装置的12例髂动脉闭塞患者的临床资料。分析远端保护装置拦截栓塞物及取栓的作用。结果    所有患者均成功置入远端保护装置，拦截栓塞物10例（83.3%），并均将栓塞物拉出体外。患者术后患肢踝臂指数明显高于术前［（0.85±0.26）比（0.51±0.12）］（P=0.037）。所有患者术后造影显示股腘动脉及膝下流出道均血流通畅，无栓塞征象，均无腔内治疗及远端保护装置相关并发症。所有患者随访(21±15)个月，1例术后6个月出现支架内再狭窄，行再次腔内治疗，一期通畅率为91.7%（11/12）。结论    髂动脉闭塞病变腔内治疗同期使用远端保护装置安全有效，同时可将血栓取出。

• 【Abstract】Objective    To investigate the effect of distal embolic protection device on endovascular treatment of iliac artery occlusion. Methods    Clinical data of 12 patients with iliac artery occlusion from March 2015 to October 2017 in Beijing Anzhen Hospital, Capital Medical University were analyzed; all patients were treated with endovascular revascularization with auxiliary use of distal embolic protection device. The function of distal embolic protection device in revascularization was evaluated. Results    All patients successfully completed the procedure; 10 cases of embolus（83.3%） were removed. Ankle-brachial index after operation was significantly higher than that before operation［（0.85±0.26）vs（0.51±0.12）］（P=0.037）. Postoperative angiography showed smooth blood flow in femoral-popliteal artery and outflow tract below the knee; no embolism and revascularization-associated complication were observed. During (21±15) months of follow-up, stent restenosis occurred in 1 case at 6 months after operation; the primary patency rate was 91.7%（11/12）. Conclusion    Endovascular therapy with auxiliary use of distal embolic protection device is safe and effective in treating iliac artery occlusion.

  【Key words】Iliac artery occlusion；Embolism；Distal embolic protection device；Endovascular therapy

  【Fund program】National Natural Science Foundation of China（81670317）