核医学 >文章正文
核医学 >文章正文
Treatment of the subclavicle artery obstruction disease via humeral artery puncture ABSTRACT
Objective: To evaluate the clinical effect of brachial artery access for percutaneous transluminal angioplasty(PTA) of proximal subclavian artery occlusions. Methods: Nine patients with proximal subclavian artery occlusion were treated by PTA via brachial approach. All patients suffered from subclavian steal syndrome or/and brachial syndrome.Six lesions were successfully dilated and stents were implanted in two lesions. Results: In 8 of 9 patients(88.8%),we passed the occlusion and dilated the artery at the obstruction site. In 1 patients, the occlusion proved too solid to be passed by the guidewire and diagnostic catheter. There were no cerebral complications and death. During the follow-up of 10-41 months(average 28.6 months),there was only 1 restenosis occurred 12 months after PTA. In the 2 patients with stents, no restenosis occurred. Conclusion: The results suggest that brachial artery access for percutaneous transluminal angioplasty(PTA) of proximal subclavian artery occlusions is safe and effective. 一、材料与方法 1. 临床资料 |