球扩式支架扩张时致限制性股浅动脉破裂1例

Chinese Journal of Interventional Imaging and Therapy(2015)

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Abstract
患者女,76岁,左下肢间歇性跛行2个月,静息痛4天,既往冠心病史20年,高血压病史5年.查体:左侧腘动脉、足背动脉搏动未触及,胫后动脉搏动减弱,左足趾发紫,触痛,左足皮温减低.超声:左股浅、足背动脉闭塞,左腘动脉不完全闭塞,胫前动脉狭窄,血流减低,胫后动脉血流减低.下肢CTA:左股浅动脉中下段闭塞,胫前动脉、腓动脉多发节段性闭塞,胫后动脉上段闭塞>2 cm,远端流出道通畅.Fontaine缺血分级:Ⅲ级,Rutherford缺血分级:Ⅳ级,TASCⅡ:股腘动脉C级,膝下动脉D级(图1).术前双联抗血小板治疗3天后,经右侧股动脉穿刺翻山行左侧股浅动脉闭塞段开通、球囊扩张及支架放置术(图2A~2C).
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Key words
Superficial femoral artery,Percutaneous transluminal angioplasty,Stent,Rupture
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