介入放射学杂志2024,Vol.33Issue(7) :763-766.DOI:10.3969/j.issn.1008-794X.2024.07.012

对吻式支架在慢性髂腔静脉闭塞中的应用

The application of kissing-stent in treating chronic iliac-vena cava occlusion

翟少博 吕志祥 张志华 孙吉峰 于洋洋 高成
介入放射学杂志2024,Vol.33Issue(7) :763-766.DOI:10.3969/j.issn.1008-794X.2024.07.012

对吻式支架在慢性髂腔静脉闭塞中的应用

The application of kissing-stent in treating chronic iliac-vena cava occlusion

翟少博 1吕志祥 1张志华 1孙吉峰 1于洋洋 1高成1
扫码查看

作者信息

  • 1. 266011 山东青岛 青岛大学附属青岛市中心医院血管外科
  • 折叠

摘要

目的 评估对吻式支架治疗慢性髂腔静脉闭塞的临床疗效.方法 回顾性分析接受对吻式支架治疗的22例慢性髂腔静脉闭塞患者的临床资料,观察手术成功率及相关并发症,统计术后3、6、12个月的支架通畅率,比较术后6个月的Villalta评分变化.结果 对吻式支架成功置入率为100%.未发现相关手术并发症.术后3、6、12个月的通畅率分别为95.5%、90.9%、86.1%.术后6个月的Villalta评分为(12.14±2.80)分,明显低于术前的(20.91±3.16)分,差异有统计学意义(P<0.05).结论 对吻式支架可成功重建髂腔静脉,治疗慢性髂腔静脉闭塞的短期疗效较好.

Abstract

Objective To evaluate the clinical efficacy of kissing-stent implantation in the treatment of chronic iliac-vena cava occlusion.Methods The clinical data of 22 patients with chronic iliac-vena cava occlusion,who received kissing-stent implantation,were retrospectively analyzed.The surgical success rate and the procedure-related complications were recorded,the postoperative 3-,6-and 12-month stent patency rates were calculated,and the postoperative 6-month Villalta score was compared with its preoperative value.Results The technical success rate of kissing-stent implantation was 100%.No procedure-related surgical complications occurred.The postoperative 3-,6-and 12-month stent patency rates were 95.5%,90.9%and 86.1%respectively.The postoperative 6-month Villalta score was(12.14±2.80)points,which was remarkably lower than preoperative(20.91±3.16)points,the difference was statistically significant(P<0.05).Conclusion The implantation of kissing-stent can successfully reconstruct iliac-vena cava with satisfactory short-term efficacy for chronic iliac-vena cava occlusion.

关键词

慢性髂腔静脉闭塞/对吻式支架/腔内治疗

Key words

chronic iliac-vena cava occlusion/kissing-stent/endovascular therapy

引用本文复制引用

出版年

2024
介入放射学杂志
上海市医学会

介入放射学杂志

CSTPCD北大核心
影响因子:1.866
ISSN:1008-794X
段落导航相关论文