Interventional Therapy of Peripheral Arterial Occlusion

摘要

OBJECTIVE: To explore the value of interventional therapy of the peripheral arterial occlusion. METHODS: Fifty-eightpatients (37 men, 21 woman; aged 27-64; average age, 42.5±10.6) were divided into three groups. Eighteen patients were treated with traditional intravascukr thrombolysis in Group A, and 23 patients with the improved intravascular thrombolysis in Group B. Group C were administrated from artery with ultrasound ablation, combined with traditional intravascular thrombolysis in 17 patients. Twenty-six patients were managed with PTA after thrombolysis, and 18 patients with stent placement at the same time. RESULTS: Occluded arteries were recanalized successfully in all cases without any complication. The mean time of thromboly sis of the Group A, B and C was 17.8i8.6,11.6±5.2 and 7.3±3.5 hours, respectively. The mean time of Group C was shorter than that of the other groups (P < 0.05). The mean dose of urokinase (UK) of the Group A, B and C was 1215000±527000, 1022000±3 84000 and 349000±103000 U, respectively. The mean dose of UK of Group Cwas less than that of the other groups (P < 0.05). CONCLUSION Interventional therapy is a safe and effective treatment for the peripheral arterial occlusion.