經皮穿腔血管成形術－初步的經驗與實施操作方法之探討

Percutaneous Transluminal Angioplasty Experience and Technical Consideration

張晉民(Jinn-Ming Chang) ； 楊建芳(Chien-Fang Yang)

《中華放射線醫學雜誌》 7卷3期 (1982/09) Pp. 195-209

摘要

榮民總醫院放射線部榮民總醫院放射線部於民國70年11月至71年7月期間，首度使用經皮穿腔血管成形衛（Precataneous Transluminal Angioplasty以下簡稱PTA），治療八例動脈血管確化狹窄或阻塞性病灶，結果六例臨床症狀皆獲改善，其中一例因而免除截肢之厄運。由於PTA為一實施方法簡單，併發症發生率少，病人所需住院時間短，花費少，而且其術後血管通暢率(Patency rate)與血管分流術(Vascular bypass graft)相近，因此PTA廣泛應用於歐美，其價值是被肯定的，我們複閱八例由PTA治療之患者，報告初期的經驗心得與方法原理之探討，以供各界參考。

並列摘要

Nowaday, percutaneous transluminal angioplasty (PTA) has been extensively applied for treatment atherosclerotic and nonatherosclerotic vascular stenosis or occlusion in the whole world since Griintzig balloon catheter developing.
Not only peripheral arteries, but coronary, renal, visceral, and vertebral arteries, even abdominal aorta, vein and artery graft narrowing, GI tract anastomosis narrowing, biliary tract and ureter strictures, bave been successfully dilated.
Properly used, Transluminal Angioplasty is in fact Considerably safer than surgery and can be expected to result in immediate relief in about 80-90% of atherosilerotic ilio-femoropopliteal vascular stenosis and occlusion.
PTA often offers the sole means of salvage in patients who are too debilitated to ungerogs the rigors of general anthesia and surgery. If the PTA result is satisfactory, the morbidity, length of hospital stay and cost will be considerably reduced.