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| Clinical effect of percutaneous catheter aspiration embolectomy combined with catheter-directed thrombolysis in the treatment of acute limb arterial embolism |
| JI Chang-xue, JU Shuai, ZHANG Biao |
| Jinshan Hospital Affiliated of Fudan University, Shanghai 201508, China |
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Abstract Objective: To investigate the clinical effect of percutaneous catheter aspiration embolectomy with catheter-directed thrombolysis in the treatment of acute limb arterial embolism(AE). Methods: The clinical data of 32 patients with AE were retrospectively analyzed in our hospital． Emergency angiography of lower extremity was performed in all patients. After definite location and scope of embolization, percutaneous catheter aspiration embolectomy was performed and repeated several times. The blood flow patency degree was evaluated by angiography, and catheter thrombolysis was performed at the end of the operation． Results: In all 32 cases after catheter aspiration embolectomy, the arteries were successfully reopened． In 14 cases whose distal vessels were embolized by small emboli, after thrombolytic therapy with urokinase, the arteries were completely opened in 9 cases, and partially opened in 3 cases, still failed to open in 2 cases, but the collateral circulation increased significantly． Follow up (20±5) months, lower extremity ischemia symptoms completely disappeared in 27 cases, low skin temperature, pale skin, poor blood circulation in 4 cases, and 1 case had to receive amputation． Conclusion: Percutaneous catheter aspiration embolectomy combined with catheter-directed thrombolysis in the treatment of AE can promptly remove thrombus, instantly restore the blood flow, and its clinical effect is satisfied．
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Received: 26 June 2017
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JI Chang-xue,JU Shuai,ZHANG Biao. Clinical effect of percutaneous catheter aspiration embolectomy combined with catheter-directed thrombolysis in the treatment of acute limb arterial embolism[J]. JOURNAL OF CHINA MEDICAL IMAGING, 2018, 29(4): 284-286.
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| URL: |
| http://www.jccmi.com.cn/EN/ OR http://www.jccmi.com.cn/EN/Y2018/V29/I4/284 |
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