Effect of different interventions on acute ischemic disease of lower extremities
10.11958/j.issn.0253-9896.2015.02.025
- VernacularTitle:急性下肢动脉缺血处理方式的比较
- Author:
Zheng WANG
;
Yue ZHAO
- Publication Type:Journal Article
- Keywords:
arterial occlusive diseases;
ischemia;
catheter directed thrombolysis (CDT);
thrombectomy;
acute ischemia of lower extremity
- From:
Tianjin Medical Journal
2015;(2):206-208
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the treatment effects of catheter directed thrombolysis and thrombetomy for acute ar?terial ischemia of the lower extremity. Methods Patients who visited Tianjin Medical University General Hospital from 2011 to 2013 and were attacked by acute ischemic disease of lower extremities within 3 days (n=66) were investigated. Thrombetomy and thrombolysis treatment had been performed to 32 cases and 34 cases respectively according to patients’ own willingness. Postoperative symptom remission rate, limb salvage rate, fatality rate, reperfusion injury rate (including re?nal inadequacy, heart failure, muscle fascia compartment syndrome), bleeding rate and limb dysfunction rate were compared between these two groups. Results There was no statistical difference on the rate of symptom remission (93.8% vs 94.1%), limb salvage(96.9%vs 100%), case fatality rate(3.1%vs 0), bleeding rate(0 vs 8.8%)and limb dysfunction rate (0 vs 5.9%)between these two groups. However, the incidence of reperfusion injury was higher in the group of thrombectomy (37.5%vs 2.9%, P<0.05)compared to that of the other group. Conclusion Similar effect of treatment and less reperfusion injury, especially renal injury, had been achieved by CDT compared with thrombetomy.
