Management of complications in endovascular treatment for arteriosclerotic occlusive disease of lower extremities
- VernacularTitle:腔内治疗下肢动脉硬化闭塞症的并发症及处理
- Author:
Zhonghua WANG
;
Lei TIAN
;
Xuedong CHEN
;
Baixi ZHUANG
;
Xiaodong YANG
;
Shihua WANG
;
Futing JIANG
;
Yuhong WANG
- Publication Type:Journal Article
- Keywords:
Dementia,vascular;
Peripheral arterial disease;
Lower extremity;
Complication;
Angioplasty
- From:
Chinese Journal of Interventional Imaging and Therapy
2011;08(5):363-366
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo discuss the prevention and treatment of the perioperative complications in endovascular treatment for arteriosclerosis obliterans (ASO) of lower extremities.MethodsEndovascular treatment was performed for 210 patients (248 limbs) with ASO of lower extremities,including 28 iliac lesions,76 femoral-popliteal lesions,56 inferior genicular lesions and 88 multiple segment lesions.The clinical data and complications were reviewed and analyzed.Results The technical success was achieved in 92.74％ (230/248).Perioperative complications occurred in 21 patients (21/210,10.00 ％),including hematoma (n= 6),pseudoaneurysm (n= 1),heart failure (n= 2),constrast-induced nephropathy (n = 1),artery perforation (n= 3),artery section (n = 3) and restenosis (n= 5).All the complications were relieved after corresponding treatment.ConclusionEndovascular treatment is a safe and effective method for ASO of lower extremities because of its high success rate and few complications.Effective control of systemic diseases,careful operation and regular treatment after operation are all the effective measures to prevent and reduce the occurrenceof complications.
