广州医药 ›› 2019, Vol. 50 ›› Issue (3): 27-29.DOI: 10.3969/j.issn.1000-8535.2019.03.007

• 论著 • 上一篇    下一篇

定向斑块旋切系统联合药物涂层球囊在下肢动脉硬化闭塞症中的临床应用

许卫国, 何旭, 李记华, 陈加源, 王勇, 李勇, 彭秀斌   

  1. 暨南大学附属珠海医院,广东省珠海市人民医院介入医学科(珠海 51900)
  • 收稿日期:2019-01-24 出版日期:2019-05-20 发布日期:2021-12-17
  • 基金资助:
    珠海市科技计划项目(2016050098)

Clinical application of Turbohawk atherectomy device combined with drug-coated balloon in treatment of arteriosclerosis obliterans in lower extremity

XU Weiguo, HE Xu, LI Jihua, CHEN Jiayuan, WANG Yong, LI Yong, PENG Xiubin   

  1. Department of Interventional Radiology, Zhuhai Peoples' Hospital (the Affiliated Zhu Hai Hospital of Jinan University), Zhuhai 519000, China
  • Received:2019-01-24 Online:2019-05-20 Published:2021-12-17

摘要: 目的 评价Turbohawk定向斑块切除系统联合药物涂层球囊在下肢动脉硬化闭塞症中临床应用价值。方法 对于术前超声以及下肢动脉CTA检查诊断为下肢动脉硬化闭塞症的8例患者,行Turbohawk斑块旋切以及药物涂层球囊治疗,术后行常规抗凝治疗,定期行彩超复查。结果 8例患者下肢动脉均全部再通成功,技术成功率为100%,术后缺血症状明显改善,术后平均踝肱指数为0.78±0.06,高于术前的0.31±0.12(P<0.05)。住院期间无并发症发生,随访3~18个月,患者保肢均获得成功。结论 Turbohawk定向机械旋切系统联合药物涂层球囊治疗下肢动脉硬化闭塞症,具有创伤小、疗效好以及安全性高等优点,值得临床推广使用。

关键词: 定向斑块旋切系统, 药物涂层球囊, 下肢动脉硬化闭塞症

Abstract: Objective To evaluate clinical application of using Turbohawk atherectomy device in combination with drug-coated balloon in treatment of atreriosclerosis obliterans in lower extremity. Methods Turbohawk atherectomy device and DCB was performed in 8 patiments with atreriosclerosis obliterans in lower extremity. All patients were diagnosed by ultrasound and CTA. Routine anticoagulation drugs were used after the operation. Follow-up was carried out with color Doppler ultrasound. Results Revascularization was gained in 8 patients. The technically successful rate was 100% and ischemic symptoms relieved significantly immediately after the operation. The post-operative ankle brachinal index(ABI) was 0.78±0.06,which was higher than that of before operation(0.31±0.12). No obvious complications occurred after operation. The follow-up range was 3~18 months and limbs were salvaged successfully. Conclusion With minimal invasive, safe and few complications, Turbohawk atherectomy device in combination with drug-coated balloon is proved to be a very effective treatment atreriosclerosis obliterans in lower extremity and it is worth to popularize.

Key words: Turbohawk atherectomy device, Drug-coated balloon, Arteriosclerosis obliterans in lower extremity