Management of recurrent occlusion of lower limb arterial occlusions
10.3760/cma.j.issn.1007-631X.2013.01.015
- VernacularTitle:下肢动脉硬化闭塞症治疗后再闭塞的处理
- Author:
Hong LIU
;
Li LI
;
Chengzhi WEI
- Publication Type:Journal Article
- Keywords:
Arteriosclerosis obliterans;
Angioplasty;
Graft bypass;
Reocclusion
- From:
Chinese Journal of General Surgery
2013;(1):42-44
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the experience in the treatment of postoperative reocclusion in patients of lower limb arterial occlusion.Methods From January 2007 to December 2011,clinical data were reviewed on 98 reocclusion episodes in 70 patients,who had been treated by graft bypass (30 patients),or angioplasty (15 patients) or both (25 patients).In this series,10 cases received conservative treatment and to the other 88 episodes reoperation was given,including thrombectomy alone in 15 episodes,and thrombectomy combined with microcatheter application for 13 episodes,and thrombectomy combined with angioplasty and microcatheter application for 60 episodes.Results Two patients died during follow-up period and 5 patients were lost to follow-up including 2 receiving conservative treatment.The other 63 patients were followed-up for 8 to 60 months,averaging (24 ± 5) months.The arterial patency in patients receiving reoperation treatment was 69.8％ (44 patients) and the amputation rate was 12.7％ (8 patients).Conclusions For postoperative recurrent arterial occlusion in patients of lower limb arterial occlusion,thrembectomy combined with angioplasty and microcatheter application may generate satisfactory results,
