Transcatheter direct thrombolysis for acute upper extremity arterial embolism
10.13929/j.issn.1672-8475.2020.10.003
- VernacularTitle: 导管接触性溶栓治疗急性上肢动脉栓塞
- Author:
Weiming WANG
1
Author Information
1. Department of General Surgery [Vascular Surgery], The Affiliated Hospital of Southwest Medical University
- Publication Type:Journal Article
- Keywords:
Angiography, digital subtraction;
Catheter directed thrombolysis;
Embolization, therapeutic;
Thromboembolism;
Upper extremity
- From:
Chinese Journal of Interventional Imaging and Therapy
2020;17(10):585-589
- CountryChina
- Language:Chinese
-
Abstract:
Objective: To observe the clinical effect of transcatheter direct thrombolysis in treatment of acute upper extremity arterial embolism (AUEAE). Methods: Eighteen patients with AUEAE (18 limbs) were treated with transcatheter direct thrombolysis, and anticoagulation was performed regularly after operation. The treatment effect and complications were observed. Results: The technical successful rate of transcatheter direct thrombolysis was 100% (18/18). After thrombolytic therapy, the symptoms and signs improved, 15 patients (15/18, 83. 33%) were cured, 2 (2/18, 11.11%) became fine and 1 was generally accepted (1/18, 5.56%). The operation time of transcatheter direct thrombolysis was 36-84 (58.83±12.28)h. During the anticoagulation therapy, thrombocytopenia more than 50% occurred in 1 patient. After operation, puncture site hematoma and puncture site femoral artery pseudoaneurysm were observed in 3 cases and 1 case, respectively, and renal function decline occurred in 1 patient, all were alleviated or cured after corresponding treatment. Conclusion: The short-term efficacy and safety of transcatheter direct thrombolysis were both good for treating AUEAE.
