10例多发性大动脉炎的介入治疗Short-and long-term results of stenting supported balloon angioplasty in 10 patients with Takayasu arteritis
李成祥,贾国良,郭文怡,李伟杰
摘要(Abstract)：
目的 评价介入方法治疗多发性大动脉炎的临床疗效。方法 我院连续收治 10例多发性大动脉炎患者 ,对其应用介入治疗。治疗血管 13支 ,其中锁骨下动脉 2支 ,肾动脉 5支 ,腹主动脉 1支 ,髂颈总动脉 1支 ,肺动脉 3支。 8例患者因球囊扩张后不满意或夹层形成而置入支架 9枚。结果 10例 13支病变血管介入治疗均成功 ,病变狭窄由 (90± 11) %降至 (11± 12 ) % (P <0 0 1) ,无严重并发症发生 ,2例发生轻度并发症 (1例腹主动脉球囊扩张时背痛 ,1例锁骨下动脉植入支架后肩胛动脉一过性阻塞 )。随诊 18± 13个月 ,8例患者临床症状持续缓解 ;2例单纯球囊扩张者 (1例肺动脉 1例锁骨下动脉 )术后症状复发 ,但较术前减轻。结论 采用球囊扩张结合支架治疗多发性大动脉炎所致外周动脉病变成功率高 ,临床症状缓解明显 ,远期疗效良好。
关键词(KeyWords)： 大动脉炎,多发性;血管成形术,经皮,经腔;支架
基金项目(Foundation):
作者(Author): 李成祥,贾国良,郭文怡,李伟杰
参考文献(References)：
- 1FavaMP ,ForadoriGB ,GarciaCB ,etal.PercutaneoustransluminalangioplastyinpatientswithTakayasuarteritis:five yearexperience.JVascInternvRadiol1993;4:649652.
- 2JosephS ,MandalamKR ,RaoVR ,etal.Percutaneoustransluminalangioplastyofthesubclavianarteryinnonspecificaortaarteritis:resultsoflong termfollow up.JVascInternvRadiol1994;5:573580.
- 3RaoSA ,MandalamKR ,RaoVR ,etal.Takayasuarteritis:initialandlong termfollow upin16patientsafterpercutaneoustransluminalangioplastyofthedescendingthoracicandabdominalaorta.Radiology1993;189:173179.
- 4TyagiS ,KhanAA ,KaulUA ,etal.Percutaneoustransluminalangioplastyforstenosisoftheaortaduetoarteritisinchildren.PediatrCardiol1999;20:404410.
- 5TyagiS ,VermaPK ,GambhirDS ,etal.Earlyandlong termresultsofsubclavianangioplastyinaortaarteritis(Takayasudisease):comparisonwithatherosclerosis.CardiovascInterventRadiol1998;21:219224.
- 6SharmaBK ,JainS ,BaliHK ,etal.Afollow upstudyofballoonangioplastyandde novostentinginTakayasuarteritis.IntJCardiol2000;75(Suppl1):S147152.
- 7GrossCM ,KramerJ,WaigandJ,etal.Ostialrenalarterystentplacementforatheroscleroticrenalstenosisinpatientswithcoronaryarterydisease.CathetCardiovascDiagn1998;45:18.