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DSA监视下Fogarty球囊导管在急性肢体动脉栓塞中的应用

Application of Fogarty catheter in treatment of acute limbarterial embolism by DSA

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【作者】 程光森许卫国陈加源彭秀斌

【Author】 CHENG Guangsen;XU Weiguo;CHEN Jiayuan;PENG Xiubin;Department of Interventional Radiology,the People’s Hospital of Zhuhai;

【机构】 珠海市人民医院介入医学科

【摘要】 目的 探讨Fogarty球囊导管在急性肢体动脉栓塞中的使用技巧及临床疗效。方法 回顾性分析经Fogarty球囊导管取栓治疗的8例急性肢体动脉栓塞患者,分析治疗方法、疗效、并发症、预后及6~24个月随访结果,评价Fogarty球囊导管的安全性、有效性及操作技巧。结果 7例治愈,1例有效,血管内膜损伤1例,血管痉挛1例。术后6~12个月随访,6例肢体活动正常,1例1年后脑梗死致左侧肢体偏瘫,1例6个月后因呼吸功能衰竭死亡。结论 在急性肢体动脉栓塞中使用Fogarty球囊导管取栓治疗安全有效。

【Abstract】 Objective To explore the technique and clinical effect of Fogarty catheter in treatment of acute limb arterial embolism.Methods Eight cases of acute limb arterial embolism treated by Fogarty catheter were analyzed retrospectively.The technique of thrombectomy,curative effect,complications,prognosis,and 6-24 months follow-up results were assessed to evaluate the safety,effectiveness and operative skills.Results Seven cases were cured,and 1 case was efficacious.The endangium injury and vasospasm was occurred in 1 case,respectively.During follow-up from 6 to 24 months,6 cases recovered activity,1 case was hemiplegia because of cerebral infarction after 12 months,and 1 case died of respiratory function failure after 6 months.Conclusion Fogarty catheter is safe and effective in treatment of acute limb arterial embolism.

【关键词】 Fogarty球囊导管栓塞肢体动脉
【Key words】 Fogarty catheterembolizationlimb artery
  • 【文献出处】 实用放射学杂志 ,Journal of Practical Radiology , 编辑部邮箱 ,2015年08期
  • 【分类号】R543.5;R816.2
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