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題名 | 經皮血管擴張術及支撐架在鎖骨下動脈及頭臂幹動脈之應用=Percutaneous Transluminal Angioplasty and Stenting of the Subclavian Artery and Brachiocephalic Trunk |
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作者 | 鄧木火; 凌憬峰; 羅兆寶; 張豐基; 蔡芳洋; 柯世琦; 賴曉亭; 許立奇; 黃正雄; 顏玉樹; 翁文章; 張政彥; | 書刊名 | 中華放射線醫學雜誌 |
卷期 | 25:2 2000.04[民89.04] |
頁次 | 頁53-57 |
分類號 | 416.263 |
關鍵詞 | 支撐架; 經皮血管擴張術; Stenting; Percutaneous transluminal angioplasty; PTA; |
語文 | 中文(Chinese) |
中文摘要 | 我們報告最近 24 個月經皮血管擴張術及支撐架在 14 例之鎖骨下動脈及頭臂幹動脈應用經驗。其中 2 例在頭臂幹動脈,1 例在右鎖骨下動脈,其他 11 例在左鎖骨下動脈。4 例只做經皮血管擴張術, 10 例除做經皮血管擴張術外還置放支撐架。只做經皮血管擴張術者除一例未達成足夠之擴張外,其他三例經 10-24 個月(平均 18 個月)之追蹤,均未有復發症狀。 置放支撐架者 10 例經 1-17 個月(平均10個月)之追蹤,除一例左鎖骨下動脈有阻塞之病例在未被支撐架覆蓋處復發狹窄外均無復發現象。 治療過程中二例發生技術之併發症,均無臨床症狀。 結論:經皮血管擴張術及置放支撐架對鎖骨下動脈及頭臂幹動脈之狹窄或阻塞之治療是一個侵犯性少且相當安全的治療方法,值得推廣。 |
英文摘要 | We report on our experience with percutaneous transluminal angioplasty and stenting for stenosis or occlusion of the subclavian artery and brachiocephalic trunk in 14 patients in the past 23 months. Two of them were in the brachiocephalic trunk, one in right subclavian artery, and eleven cases in the left subclavian artery. Percutaneous transluminal angioplasty alone was done in four patients. Ten of them received percutaneous transluminal angioplasty and stenting. One of four patients receiving only percutaneous transluminal angioplasty did not achieve adequate dilatation. After follow up for 10-23 (mean = 14) months, none of the other three patients had recurrent symptoms. One patient with left subclavian artery occlusion who received stenting showed re-stenosis at the region not covered by the stent. After follow up for 2-14 (mean = 10) months, none of the other patients who received stenting showed any signs of restenosis. Two complications with the treatment procedure were encountered: one was self-limited leakage of the contrast media; and the other was proximal migration of the stent, the stent was then implanted in the abdominal aorta. No clinical manifestations were noted in these two patients. In conclusion, percutaneous angioplasty and stenting are effective in the treatment of stenosis or occlusion in the subclavian artery or brachiocephalic trunk. |
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