Combination of interventional therapy and surgery in the treatment of acute lower limb ischemic disease

VernacularTitle:手术联合介入治疗急性下肢缺血42例
Author: Zhixuan ZHANG ; Xiaoqiang LI ; Pengfei DUAN ; Aimin QIAN ; Qingyou MENG ; Hongfei SANG ; Liwei ZHU ; Jianjie RONG
Publication Type:Journal Article
Keywords: Arterial occlusive diseases; Angioplasty; Blood vessel prosthesis
From: Chinese Journal of General Surgery 2012;27(1):25-27
CountryChina
Language:Chinese
Abstract: Objective To evaluate a combination of interventional treatment and surgical exploration for acute lower limb ischemic disease.Methods We reviewed 42 cases admitted from July 2007 to January 2010,all patients complained pain,paralysis,pulselessness,pallor and paresthesia.After Fogarty thrombectomy angiography was taken in DSA room.Patients with angiostenosis greater than 50％ were then managed by interventional treatment(CDT,PTA,Stenting).Results Lives were saved in all patients,40 lower limbs were saved,and 2 patients received below knee amputation.The amputation rate was 4.76％.Dorsal or(and)posterior tibial artery of foot was felt in 33 patients,symptoms significantly improved.The other 7 patients still had painful and paralysis on the diseased limb.Conclusions The interventional treatment and surgical operation in acute lower limb ischemic disease is safe and result is satisfactory,which can improve the long-term patency and salvage rate of the lower limb.