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  1. 学術雑誌論文
  2. 琉球医学会
  3. 琉球医学会誌
  4. 21巻1号
  1. 部局別インデックス
  2. その他

[原著]Evaluation of the usefulness of primary stenting of the iliac artery with Palmaz stent in patients with arteriosclerosis obhterans

http://hdl.handle.net/20.500.12000/0002016167
http://hdl.handle.net/20.500.12000/0002016167
4ad4ae62-d8c0-4191-8575-b1d5517d093e
名前 / ファイル ライセンス アクション
v21p29.pdf v21p29.pdf
Item type デフォルトアイテムタイプ(フル)(1)
公開日 2010-07-02
タイトル
タイトル [原著]Evaluation of the usefulness of primary stenting of the iliac artery with Palmaz stent in patients with arteriosclerosis obhterans
言語 ja
作成者 Sakuda, Hitoshi

× Sakuda, Hitoshi

en Sakuda, Hitoshi

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Nakaema, Moriyasu

× Nakaema, Moriyasu

en Nakaema, Moriyasu

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Higa, Noboru

× Higa, Noboru

en Higa, Noboru

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Matsubara, Shinobu

× Matsubara, Shinobu

en Matsubara, Shinobu

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Uezu, Thoru

× Uezu, Thoru

en Uezu, Thoru

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Shimoji, Mitsuyoshi

× Shimoji, Mitsuyoshi

en Shimoji, Mitsuyoshi

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Miyagi, Kazufumi

× Miyagi, Kazufumi

en Miyagi, Kazufumi

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Kamada, Yoshihiko

× Kamada, Yoshihiko

en Kamada, Yoshihiko

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Kuniyoshi, Yukio

× Kuniyoshi, Yukio

en Kuniyoshi, Yukio

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Koja, Kageharu

× Koja, Kageharu

en Koja, Kageharu

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アクセス権
アクセス権 open access
アクセス権URI http://purl.org/coar/access_right/c_abf2
権利情報
言語 ja
権利情報 琉球医学会
主題
言語 en
主題Scheme Other
主題 primary stenting
主題
言語 en
主題Scheme Other
主題 Palmaz stent
主題
言語 en
主題Scheme Other
主題 arteriosclerosis obliterans
主題
言語 en
主題Scheme Other
主題 iliac artery
内容記述
内容記述タイプ Other
内容記述 We evaluated the clinical usefulness of primary stenting of the iliac arteries with Palmaz stent in patients with arteriosclerosis obliterans by analysis of early and midterm postoperative results. Between December 1997 and December 2000, we treated 16 patients of 18 ischemic lower limbs ( 16 stenoses and 2 0cclusions) including 15 men and 1 woman between 48 and 76 years of age (average 63.4 years). Primary stenting was indicated for patients with apparent ischemic symptoms (Fontaine stage of II, III and IV) and reduced ankle pressure index (API, 0.9 or less). Morphological indication was segmental lesions of the iliac artery: an occlusive lesion was 3 cm or less in length, and a stenotic lesion 60% or more in degree and 6 cm or less in length. The stented lesions were located in the common iliac artery in 6 limbs, in the external iliac artery in 7 limbs, and in both arteries in 5 limbs. The 5 patients with multiple arterial occlusive disease underwent simultaneous iliac stent placement and infrainguinal open surgery. Initial technical and clinical success of zero or less than 10% residual stenosis was achieved in all patients (100% initial success rate). A minor complication was noted in 1 patient (5.6%), a small pseudoaneurysm at the punctured site of the common femoral artery that was treated successfully by compression therapy. No major complication requiring open surgery, blood transfusion or perioperative death occurred in any of our patients. Mean API increased significantly from 0.59 ±0.23 preoperatively to $0.95 \pm 0.17$ postoperatively (p<0.01). Clinical symptoms improved in all patients except 1. During the follow-up period of 2 to 46 months (average 21 months), 2 high-risk patients died from cerebral hemorrhage, 1 at 5 months and the other at 22 months after stenting. A stented artery in the primary thrombocytosis patient, who received stents for distal anastomotic stenosis of an aortobi-iliac synthetic bypass, occluded after 2 months and was treated by axillofemoral bypass. In a patient with diffuse atherosclerosis of the iliac artery, a severe 75% stenosis recurred within the stent and its distal artery, which was successfully treated by re-stenting. The 3-year primary cumulative patency rate in total patient series was 88.5%, and secondary rate was 94.4%. Although further follow-up studies are needed to evaluate long-term efficacy, our current results indicated that primary stenting for segmental iliac lesions is safe, minimally invasive, and as functional as conventional open surgery.
内容記述
内容記述タイプ Other
内容記述 論文
出版者
言語 ja
出版者 琉球医学会
出版者
言語 en
出版者 Ryukyu Medical Association
言語
言語 eng
資源タイプ
資源タイプ journal article
資源タイプ識別子 http://purl.org/coar/resource_type/c_6501
出版タイプ
出版タイプ VoR
出版タイプResource http://purl.org/coar/version/c_970fb48d4fbd8a85
収録物識別子
収録物識別子タイプ ISSN
収録物識別子 1346888X
収録物識別子
収録物識別子タイプ ISSN
収録物識別子 0289-1530
収録物識別子
収録物識別子タイプ NCID
収録物識別子 AN10369445
収録物名
言語 ja
収録物名 琉球医学会誌 = Ryukyu Medical Journal
書誌情報
巻 21, 号 1, p. 29-33
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