Analysis of curative effect of catheter thrombolysis in the treatment of subacute lower limb arterial occlusion
10.3760/cma.j.issn.1673-4904.2018.02.012
- VernacularTitle:导管溶栓在亚急性期下肢动脉闭塞症治疗中的疗效分析
- Author:
Kai ZHAO
1
;
Shunji SUN
;
Zhaocheng JIAN
;
Xiuchun WANG
;
Peng WANG
Author Information
1. 261041,潍坊医学院附属医院血管介入科
- Keywords:
Lower limb arterial occlusion;
Subacute phase;
Catheter thrombolysis;
Endovascular treatment
- From:
Chinese Journal of Postgraduates of Medicine
2018;41(2):140-143
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the curative effect of catheter thrombolysis in the treatment of subacute lower limb arterial occlusion.Methods Eighty-five patients with subacute lower limb arterial occlusion (98 limbs) and treated with catheter thrombolysis were enrolled and the removal of thrombus and patency of vessels were evaluated by angiography.Then,balloon dilatation or stent implantation was performed according to the angiographic findings after thrombolysis. Results After catheter thrombolysis, the degree and length of occlusion were significantly improved (P < 0.01). To judge the curative effect: significantly effective in 5 limbs (5.1%), effective in 85 limbs (86.7%), ineffective in 8 limbs(8.2%),total effective rate was 91.8%.Catheter thrombolysis combined with balloon dilatation and stent implantation were performed according the vascular occlusion status and all the occluded segments were open, the postoperative angiography showed no distal vascular occlusion. No bleeding occurred. Conclusions Catheter thrombolysis is effective and safe in the treatment of lower extremity arterial occlusion in subacute stage.Endovascular treatment combined with endovascular treatment can achieve good results.
