Clinical research of interventional treatment by inlying thrombolytic catheter for patients with acute lower limb arterial thrombosis or embolism
10.3760/cma.j.issn.1673-4904.2011.08.011
- VernacularTitle:留置溶栓导管介入治疗急性下肢动脉血栓栓塞的临床研究
- Author:
Yangao MA
;
Gang WU
;
Xinwei HAN
;
Ming ZHU
;
Dechao JIAO
- Publication Type:Journal Article
- Keywords:
Embolism,cholesterol;
Thrombosis;
Interventional therapy
- From:
Chinese Journal of Postgraduates of Medicine
2011;34(8):27-29
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the methods and effects by using thrombolytic catheter in interventional treatment for patients with acute lower limb arterial thrombosis or embolism. Methods One hundred and twelve patients suffered acute lower limb arterial thrombosis or embolism. There were 85 cases of acute lower limb arterial embolism induced by atrial fibrillation in coronary or rheumatic heart disease,other 27 cases of arterial thrombosis caused by different reasons. Interventional treatment by inlying thrombolytic catheter was applied and continuous perfusion was received locally in all patients. Results Complete recanalization was got in 77 cases (68.8%) of 112 cases. Partial re canalization was got in 23 cases (20.5%), and ischemia limbs were saved in spite of chronic limb ischemia(chronic spasmodic limb) occurring in the later follow-up. Nine cases (8.0%) were amputated as a result of irreversible limbs necrosis, 3 cases (2.7%) died from acute renal failure resulting from reperfusion injury or recurrent cerebral embolism.Conclusion Interventional treatment by inlying thrombolytic catheter is a safe and effective method with lower amputation rate for acute lower limb arterial thrombosis or embolism in patients.
