Guide-wire"meeting"technique in the treatment of acute traumatic axillary artery injuries by interventional therapy
Objective To explore the value of guide-wire"meeting"technique in the treatment of traumat-ic axillary artery injuries by interventional therapy.Methods A retrospective analysis was made on the medical re-cords of 22 cases of traumatic axillary artery injury treated at No.960 Hospital of PLA by interventional therapy from Jan.2008 to Aug.2020,including 16 males and 6 females,with an average of 40.3 years(range,30-66 years).Through the femoral and affected radial arteries,the bidirectional approach guide-wire accessed the injured segment of the axillary artery,a goose neck snare was introduced through the femoral artery,which was pulled out of the body to establish a femoral-radial artery passage,followed by stent implantation.The perioperative conditions,therapeutic effects,surgical complications and re-intervention were recorded.Results The guide-wire"meeting"technique achieved a 100％success rate in the 22 cases,with 34 stents deployed,mean 1.5 stents.Intraoperative angiography revealed that the blood flow of the traumatic axillary artery was fully restored.All the 22 cases were followed up for 6-49(mean 28.6)months.Among them,20 cases showed stent patency or＜30％stent lumen stenosis;2 cases had＞50％stent lumen stenosis and received re-intervention.During the follow-up period,no displacement,fracture or leakage of the stent was reported.Conclusion Guide-wire"meeting"technique in the treatment of traumatic axillary artery injuries has a high intraoperative success rate,few complications and good outcomes,which is worthy of application.
万方数据
维普
