摘要
目的探讨与分析球囊扩张式冠脉支架在治疗原位肝移植术后肝动脉狭窄中的作用和意义。方法回顾性分析我院2004年6月到2006年9月11例肝移植术后肝动脉狭窄患者的血管内支架治疗资料。结果11例患者共使用13枚球囊扩张式冠脉支架治疗,其中1例由于病变长度,需要2枚支架;1例出现再狭窄需要第2次支架植入。所有病例支架植入技术成功率为100%,随访中未出现与支架术相关的并发症。结论球囊扩张式冠脉支架在肝移植后肝动脉狭窄的治疗中应用安全有效,有极好的技术成功率和中期通畅率。
Objective To evaluate the efficacy and benefit of hepatic artery stenting with balloon- expandable coronary stent in the treatment of hepatic artery stenosis after orthotopic liver transplantation. Methods A retrospective review and analysis was performed for 11 patients, who underwent hepatic artery stenting after diagnosis of hepatic artery stenosis following orthotopic liver transplantation. Results A total of 13 balloon-expandable coronary stents were placed in 11 patients with 100% successful rate on technology, and all stents remained patent during follow up. Among them, one patient required two stents due to the longer length of stenotic artery and another underwent a second stenting after developed restenosis proximal to the original stenotic site. No procedure-related complication occurred, and no surgical revascularization or retransplantation was required during the follow up. Conclusions Balloon expandable coronary stent is more safe and effective in the management of hepatic artery stenosis after orthotopic liver transplantation with excellent technical success and mid-term patency rate.（J Intervent Radiol, 2007, 16： 602-605）
出处
《介入放射学杂志》
CSCD
2007年第9期602-605,共4页
Journal of Interventional Radiology
关键词
原位肝移植
肝动脉狭窄
球囊扩张式冠脉支架
介入治疗
Hepatic artery stenosis
Orthotopic liver transplantation
Balloon-expandable coronary stent
Interventional procedure
