Surgical and endovascular treatment of thromboangiitisobliterans
LIU Bing
HUANG Ren-ping
Abstract：Objective To investigate the outcomes of surgical and endovascular treatment for thromboangiitisobliterans. Methods The clinical data of 202 patients with thromboangiitisobliterans underwent surgical and endovascular treatment in the First Affiliated Hospital of Harbin Medical University from April 2006 to April 2015 were analyzed retrospectively. According to the outcomes of ankle brachial index (ABI) and the Rutherford classification value (R-value), the effectiveness of different operation methods were evaluated. Results The Rutherford classification value evaluation:One month after operation, R-value decreasedin all 4 groups(P<0.05). Six months after operation, R-value decreased in lumbar sympathectomy group, sequential endarterectomy group and sequential endarterectomy combined with lumbar sympathectomy group(P<0.05). Twelve months after operation, R-value decreased in sequential endarterectomy group and sequential endarterectomy combined with lumbar sympathectomy group(P<0.05).ABI evaluation:One week after operation,ABI increased in all 4 groups (P<0.05). Six months after operation, ABI increased in sequential endarterectomy combined with lumbar sympathectomy group(P<0.05). Twelve months after operation, ABI increased in sequential endarterectomy group and sequential endarterectomy combined with lumbar sympathectomy group(P<0.05). Conclusion Percutaneous transluminal angioplasty (PTA) and lumbar sympathectomy can bring benefit to the patient with TAO in the short term. Sequential endarterectomy combined with or without lumbar sympathectomy are proved to be effective as a surgical method for TAO.
Keywords：thromboangiitisobliteranspercutaneous transluminal angioplastyendarterectomysympathectomy
Publication Date：2016-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 1298-1301 )