论文部分内容阅读
目的:探讨锁骨下动脉狭窄引起的盗血综合征产生的临床意义和诊治体会。方法:对我院收治的12例锁骨下动脉盗血综合征患者的临床资料进行回顾性分析。结果:12例明确诊断后,其中4例行球囊扩张,另外8例分别经肱动脉及股动脉行锁骨下动脉支架植入术。如经股动脉途径失败可改行经肱动脉途径,成功比例较高。结论:锁骨下动脉盗血综合征的出现与锁骨下动脉狭窄的部位与程度有关,盗血综合征作为一种代偿机制的出现可部分缓解患者的临床症状。如狭窄严重出现症状者可考虑行狭窄扩张及支架植入术则可取得较好疗效。
Objective: To investigate the clinical significance and diagnosis and treatment of steal syndrome caused by subclavian artery stenosis. Methods: The clinical data of 12 cases of subclavian steal syndrome in our hospital were analyzed retrospectively. Results: After 12 cases of definite diagnosis, 4 cases underwent balloon dilatation and 8 cases underwent brachial artery and femoral artery via subclavian artery stent implantation respectively. If the failure of the femoral artery can be diverted via the brachial artery route, a higher percentage of successful. Conclusion: The appearance of subclavian steal syndrome is related to the location and degree of subclavian artery stenosis. The emergence of steal syndrome as a compensatory mechanism may partially alleviate the clinical symptoms of patients. Such as severe stenosis may consider the line of stenosis and stent implantation can achieve better results.