PDF(Pubmed)
Abstract：
Peripheral artery disease (PAD) is the buildup of calcium and fatty deposits in the arterial walls (atherosclerosis). This is an important clinical issue, specifically in cases with multilevel lesions. A patient underwent sequential angioplasty treatment for major PAD, which was characterized by multilevel lesions affecting both the infrapopliteal arteries. The proximal vessels and infrapopliteal vessels are mostly observed to be affected by PAD, thus the patient likely has PAD localized to the lower leg. In the femoropopliteal segment, lower extremity artery or aortic atherosclerotic occlusive disease can lead to significant outcomes. Severe claudication and pain during rest in both legs were observed in a patient with a history of hypertension and diabetes mellitus. With an angiography, the superficial femoral, popliteal, and tibial arteries have been shown to have major stenoses and occlusions. A progressive treatment was used because of the complexity of the lesions initiating with endovascular revascularization of the superficial femoral artery. The popliteal and tibial arteries were then repaired with angioplasty and stent placement. After the treatment, the patient\'s symptoms significantly improved, including elimination of their rest discomfort and claudication. Measurements of the ankle-brachial index (ABI) indicated that the affected limbs\' perfusion was refined. Six months later, a follow-up angiography revealed intact vessels with no restenosis. This case report shows the successful outcome of recurrent angioplasty in curing complicated multilevel PAD, giving symptomatic relief and maintaining limb perfusion. This research is required to assess the long-term outcomes and longevity of this kind of treatment in patient populations that are comparable to others.
摘要：
外周动脉疾病(PAD)是动脉壁中钙和脂肪沉积的累积(动脉粥样硬化)。这是一个重要的临床问题，特别是在有多级病变的情况下。一名患者接受了严重PAD的序贯血管成形术治疗，其特征是影响两个膝下动脉的多级病变。近端血管和膝下血管主要被观察到受到PAD的影响。因此，患者可能患有位于小腿的PAD。在股pop段，下肢动脉或主动脉粥样硬化闭塞性疾病可导致显著的预后。在有高血压和糖尿病病史的患者中，观察到双腿休息时严重跛行和疼痛。做了血管造影,股骨浅层,腿部,和胫骨动脉已被证明有主要的狭窄和闭塞。由于以股浅动脉血管内血运重建为起点的病变的复杂性，因此使用了渐进式治疗。然后通过血管成形术和支架置入术修复the动脉和胫骨动脉。治疗后,患者的症状明显改善，包括消除他们的休息不适和跛行。踝臂指数（ABI）的测量表明，受影响的肢体灌注得到了改善。六个月后,随访血管造影显示血管完整,无再狭窄.该病例报告显示了复发性血管成形术治疗复杂的多水平PAD的成功结果。给予症状缓解和维持肢体灌注。这项研究需要评估这种治疗在与其他人相当的患者人群中的长期结果和寿命。
