大管径导管抽吸血栓治疗急性下肢动脉栓塞的疗效分析  

Curative effect of thrombus aspiration therapy with large diameter catheter in acute arterial embolism of lower extremities

作　　者：赵健[1] 刘兆玉[1] 马羽佳[1] 郑加贺 龚正[1] 迟源[1] 

机构地区：[1]中国医科大学附属盛京医院放射科,辽宁沈阳110004

出　　处：《医学影像学杂志》2017年第8期1546-1549,共4页Journal of Medical Imaging

摘　　要：目的探讨使用大管径导管进行血栓抽吸治疗急性下肢动脉栓塞的疗效。方法对16例患者,共18段栓塞段动脉采用6F或8FGuiding导管抽吸血栓,根据血栓抽吸情况,继续给与溶栓或动脉成形术重建血流。结果导管抽栓有效率为81.25%,介入综合治疗有效率100%,其中痊愈(10/16)62.5%,良好(5/16)31.25%,一般(1/16)6.25%,疗效差(0)0.00%,无严重并发症。结论使用大管径导管血栓抽吸的方法治疗急性下肢动脉栓塞安全、有效,是介入放射科医生的好选择。Objective To investigate the efficacy of thrombus aspiration therapy with large diameter catheter in acute arterial embolism of lower extremities. Methods Sixteen patients （ eighteen arteries ） with acute arterial embolism of lower extremities were treated with thrombus aspiration therapy with a 6F-Guiding catheter or a 8F-Guiding catheter. According to the situation, catheter directed thrombolysis, balloon angioplasty and stent placement may be required. Results The effective rate of the therapy with thrombus aspiration catheter was 81.25% in this group, and the effective rate combined with interventional therapy was 100% , including 10（62.5% ） excellent, 5（31.25% ） good, 1 （6.25%） fair and no bad cases. No serious complications were found in the patients. Conclusion Thrombus aspiration therapy with large diameter catheter in acute arterial embolism of lower extremities was safe and effective, and it was a good choice for the interventional radiologist.

关 键 词：动脉栓塞 介入治疗 血栓抽吸 

分 类 号：R654.4[医药卫生—外科学] R815[医药卫生—临床医学]