Percutaneous mechanical thrombectomy for treating different traditional Chinese medicine syndrome type lower extremity arterial thromboses
10.13929/j.issn.1672-8475.2024.11.001
- VernacularTitle:经皮机械血栓清除术治疗不同中医证型下肢动脉血栓
- Author:
Luyao WANG
1
;
Mingzhu SONG
;
Yuhan ZHANG
;
Wenye HE
;
Qingzhi HAO
;
Bin WANG
Author Information
1. 山东中医药大学第一临床医学院,山东 济南 250022
- Keywords:
arterial occlusive diseases;
thromboembolism;
mechanical thrombolysis;
syndrome of dampness-heat;
syndrome of blood stasis
- From:
Chinese Journal of Interventional Imaging and Therapy
2024;21(11):649-653
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the efficacy of percutaneous mechanical thrombectomy(PMT)for treating different traditional Chinese medicine(TCM)syndrome type lower extremity arterial thromboses.Methods Forty patients with lower extremity arterial thromboses who underwent PMT were retrospectively enrolled and divided into dampness-heat syndrome group(n=18)and blood stasis syndrome group(n=22)according to TCM syndrome types.The technical success rate,ankle-brachial index(ABI),Rutherford grade and vascular patency rate 12 months after PMT were compared between groups.Perioperative complications and adverse events during follow-up were recorded.Results The technical success rate of PMT in dampness-heat syndrome group and blood stasis syndrome group was 94.44%(17/18)and 100%(22/22),respectively.Twelve months after PMT,ABI was 0.45±0.11 and 0.52±0.14,and vascular patency rate was 94.44%(17/18)and 81.82%(18/22)in dampness-heat syndrome group and blood stasis syndrome group,respectively,both not significantly different between groups(all P＞0.05).No significant difference of Rutherford grade before treatment was found between groups(P＞0.05),while 12 months after PMT,Rutherford grade in dampness-heat syndrome group was higher than in blood stasis syndrome group(P＜0.05).During perioperative period,false aneurysm of brachial artery occurred in 1 case in dampness-heat syndrome group,while osteofascial compartment syndrome and atrial fibrillation occurred each in 1 case in blood stasis syndrome group,both relieved after treatments.No serious adverse event such as amputation nor death occurred during follow-up.Conclusion PMT was effective and safe for treating different TCM syndrome type lower extremity arterial thromboses.The prognosis of patients with blood stasis syndrome type lower extremity arterial thromboses was better than that of those with dampness-heat syndrome.
