Percutaneous transluminal stenting versus directional atherectomy for lower limb artery TASC II Class A and B superficial femoral artery lesions

中华普通外科杂志 Pub Date : 2020-01-25 DOI:10.3760/CMA.J.ISSN.1007-631X.2020.01.012

Jinkai Li, J. Kong, Mei Huang, Jianpeng Cao, S. Yin, B. Dai, Nan Zhang, Song Zhang, Wen-tao Zhao

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Abstract

Objective To compare the effect and safety of stenting versus directional atherectomy(DA) in the treatment of TASCII A and B superficial femoral artery lesions. Methods 100 patients with TASCⅡ A and B lesions were divided into percutaneous transluminal stenting(PTS) group (n=50) and DA group (n=50). Patients were compared in terms of technical success rate, treatment success rate, first operation cost, postoperative ankle brachial index (ABI), limb salvage rate, survival, and patency. Results The technical success rate in both PTS and DA group was 100%.The treatment success rate was 98% vs. 86%, P>0.05. Postoperative ABI: 0.82±0.19 vs. 0.80±0.27, P>0.05. First operation cost: (34 820±1 051) yuan vs. (45 635±1 358) yuan, P 0.05). Limb salvage rate was 97.9% vs. 93.8 %, P>0.05. Conclusion There were no significant differences in the effect and safety of PTS versus DA in the treatment of TASCII A and B superficial femoral artery lesions. Key words: Peripheral artery disease; Claudication; Superficial femoral artery; Stents; Directional atherectomy

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经皮腔内支架置入术与定向腔内斑块切除术治疗下肢动脉TASC II A类和B类股浅动脉病变

目的比较支架植入术与定向动脉粥样硬化切除术(DA)治疗TASCII A、B型股浅动脉病变的疗效和安全性。方法将100例TASCⅡA、B病变患者分为经皮腔内支架置入术组(PTS)和DA组(DA)。比较技术成功率、治疗成功率、首次手术费用、术后踝肱指数(ankle brachial index, ABI)、残肢保留率、生存率、通畅度。结果PTS组和DA组技术成功率均为100%。治疗成功率98% vs. 86%， P < 0.05。术后ABI: 0.82±0.19 vs. 0.80±0.27,P < 0.05。首次手术费用:(34 820±1 051)元vs(45 635±1 358)元，P < 0.05)。残肢保留率97.9%比93.8%，P < 0.05。结论PTS与DA治疗TASCII A、B型股浅动脉病变的疗效和安全性无显著差异。关键词:外周动脉疾病;跛行;股浅动脉;支架;定向atherectomy

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中华普通外科杂志

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