Therapy of Thromboangitis Obliterans of Lower Extremities
- VernacularTitle:下肢血栓闭塞性脉管炎的治疗
- Author:
Xingsheng CHEN
;
Ting LIN
;
Yunbiao GUANG
;
Nan LI
- Publication Type:Journal Article
- Keywords:
Lower extremity;
Thromboangitis obliterans;
Arterialization;
Endovascular therapy;
Thrombectomy
- From:
Chinese Journal of Bases and Clinics in General Surgery
2008;0(07):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the treatment of thromboangitis obliterans (TAO) of lower extremities.Methods From March 1994 to February 2009,24 cases (26 limbs) affected by chronic ischemia were diagnosed as TAO by Doppler ultrasound and DSA,CTA or MRA.According to the different levels of the extensive and diffuse arterial occlusion,the revascularization was performed in the ways:19 cases (21 limbs) underwent venous arterialization,3 cases (3 limbs) underwent endovascular therapy,and 2 cases (2 limbs) underwent thrombectomy.ResultsAfter the venous arterialization,19 cases (21 limbs) were followed up for 1 to 14.5 years.Apart from the 5 limbs amputation (23.8%),the postoperative results of the most limbs were satisfactory (61.9%).The ABI before therapy (0.38?0.11) was significantly lower than that 6 months after therapy (0.79?0.08),P
