摘要
目的探讨总结经肱动脉途径肾动脉支架置入术的可行性及方法、技巧。方法回顾分析2002年1月-2005年1月8例肾动脉狭窄患者,均经术前影像学评价后决定采用经肱动脉途径肾动脉支架置入,支架置入时,根据患者体型大小分别使用猪尾导管及长鞘定位技术。术后随访6个月观察血压以及肾功能变化。结果8例患者全部为单侧肾动脉狭窄,均成功实施经肱动脉肾动脉支架置入术。其中,7例采用长鞘定位技术,1例体型较大者采用猪尾导管定位技术。无手术相关严重并发症。经过6个月随访,疗效满意。结论对于传统股动脉入路困难或无法经股动脉操作的情况,经肱动脉肾动脉支架置入术是一种安全可靠的替代方法。
Objective To assess the effectiveness and safety of brachial artery access for percutaneous renal artery stenting. Methods From January 2002 to January 2005, transbrachial artery renal angioplasty and stenting（RAS） was performed in 8 patients（7 males, 1 female）with severe renal artery stenosis. Imaging assessment of the target renal artery was performed before all procedures, which precluded the possibility of femoral approach. Either long guiding sheath or otherwise pigtail methods were selected according to patients＇ status for evaluation of the target renal artery during the procedure. Monitoring the blood pressure and renal function was followed up of 6 months after the procedure. Results The technical success was 100% with no procedure-related complication and good outcome follow up to 6 months. Conclusion Brachial artery access for renal artery stenting is a safe and technically feasible for renal artery stenosis, providing an alternative for unsuitable femoral approach.（J Intervent Radiol, 2007, 16： 452-454）
出处
《介入放射学杂志》
CSCD
2007年第7期452-454,共3页
Journal of Interventional Radiology
关键词
肾动脉
狭窄
肱动脉
支架置入
血管造影术
Renal angioplasty and Stenting
RAS
Brachial artery
Angioplasty
