Clinical study of mechanical thrombectomy in treating in-stent restenosis of lower extremity arteriosclerosis obliterans
10.3760/cma.j.issn.1005?1201.2017.09.014
- VernacularTitle:机械除栓导管治疗下肢动脉硬化闭塞症支架内再狭窄应用的临床研究
- Author:
Yan ZHANG
;
Yang LIN
;
Chengzhi LI
;
Hong ZHANG
;
Haipeng HE
;
Mimi ZHOU
;
Zhenai SHI
;
Xiaobai WANG
- Keywords:
Arteriosclerosis obliterans;
Lower extremity;
Radiology;
interventional;
In-stent restenosis;
Mechanical thrombectomy
- From:
Chinese Journal of Radiology
2017;51(9):699-703
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the safety and efficacy of mechanical thrombectomy in treating in-stent restenosis of lower extremity arteriosclerosis obliterans. Methods From May 2015 to Sep 2016, the clinical data of 9 cases of lower extremity arteriosclerosis obliterans who were with in-stent restenosis(3 were stent graft)were retrospectively collected, and of which 7 were males and 2 were females with a mean age of (75.4 ± 6.3)years old. All the cases were treated by mechanical thrombectomy of Rotarex catheter. All the patients were diagnosed via low-extremity artery CTA, and treated by means of the Rotarex catheter, combined with angioplasty and stent if necessary. All patients received antiplatelet therapy. Doppler ultrasonography was taken during the followed-up. Results All the 9 cases were successed in technology, without complications in hospital. All patients received Rotarex mechanical thrombectomy. Six of which used balloon and 1 stent implanted. The ABI increased from 0.29 ± 0.07 to 0.88 ± 0.07 after treatment, the difference was statistically significant(t=28.875,P<0.05). All the patients were followed up for 3—18 (median time, 11.5)months. No death and symptoms recurrence appeared during the follow-up. Conclusions Mechanical thrombectomy using Rotarex catheter is a safe and effective treatment for in-stent restenosis in lower extremity arterial diseases.
