Objective To evaluate endovascular therapy and open surgery for subclavian artery occlusion disease. Methods In this study, 69 patients received endovascular therapy (44 patients)or open surgery(25 patients)from January 2002 to July 2007.Balloon dilatation was carried out in 3 cases and 43 stents was placed in 41 cases. Results All procedures were successful. In endovascular therapy group, the ratio of healthy/dieased side of mean blood pressure was improved from 0.66±0.14 to 0.96±0.13(t=9.532,P＜0.001＝;in surgery group, the ratio improved from 0.63±0.16 to 0.95±0.18(t=8.236,P＜0.001＝.Sixty-one discharged patients were followed up for 2～49 months(mean 16.7 months),in endovascular group, restenosis occurred in 1 patient 1 year after the therapy, in surgery group, all prothesis remained patent and there was no complication related to prothesis. Conclusions Both endovascular therapy and surgery were the effective methods for subclavian artery occlusion, and endovascular therapy is preferred for less invasiveness.%目的 探讨腔内及手术治疗锁骨下动脉闭寨的方法和疗效.方法 2002年1月至2007年7月腔内及手术治疗锁骨下动脉闭塞症69例.腔内治疗44例,其中单纯球囊扩张3例,同时行支架植入者41例,植入支架43枚;手术治疗25例.结果 所有患者均顺利完成手术或腔内治疗,腔内治疗组患/健侧收缩压比由术前0.66±0.14提高至术后0.96±0.13(t=9.532,P＜0.01),手术组患/健侧血压比由术前0.63±0.16提高至术后0.95±0.18(t=8.236,P＜0.01),69例患者中随访61例,随访时间2～49个月,平均16.7个月,介入治疗组有1例术后1年出现支架结合部位狭窄,手术组随访人工血管均保持通畅,无人工血管相关并发症.结论 腔内治疗和手术治疗均是治疗锁骨下动脉闭塞的有效方法,腔内治疗因具有微创的特点,应作为治疗的首选方法.
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