The Effect of Fogarty Catheter Embolectomy Combined with Multiple Minimally Invasive Techniques for Acute Limb Ischemia_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

 LIGuo-jian ,  YANGYong , YANGGuo-kai , WANJia , MAZhen-huan , LUPing , DULing-juan

Department of Vascular Surgery, Secondary People's Hospital of Yunnan Province, Kunming 650021, Yunnan Province, China;

Corresponding?author：

YANGYong, Email: yncvs126@126.com

Keywords：

Fogarty catheter embolectomy; Minimally invasive surgery; Acute limb ischemia; Interventional procedure

DOI：

10.7507/1007-9424.20140165

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To investigate the significance of Fogarty catheter embolectomy combined with multiple minimally invasive techniques for acute limb ischemia. Methods Clinical data of 88 cases(88 limbs) of lower limb ischemia who were treated in our hospital from Feb. 2007 to Jan. 2011 were collected and analyzed. Of the 88 patients, 46 cases were operated by Fogarty catheter embolectomy(embolectomy group), 42 cases were operated by Fogarty catheter embolectomy combined with multiple minimally invasive techniques(combination group). Comparisons of the clinical indexes of ankle-brachial index(ABI), saturation of blood oxygen(SO₂) of toes, and temperature of foot skin before and after operation were performed between the 2 groups, as well as the incidence of mortality, complication, and amputation after operation. Results Compared with before operation in the same group, the value of ABI, SO₂, and temperature of foot skin in the 2 groups were higher(P<0.05), as well as the 3 kinds of indexes were both higher in combination group after operation(P<0.05). The rates of mortality, amputation, myonephropathic metabolic syndrome(MNMS), osteofascial compartment syndrome, and transient renal insufficiency were 13.04%(6/46), 17.39%(8/46), 26.09% (12/46), 26.09%(12/46), and 13.04%(6/46) respectively, the corresponding rates in combination group were 4.76% (2/42), 7.14%(3/42), 14.29%(6/42), 9.52%(4/42), and 9.52%(4/42) respectively, which were all lower in combination group(P<0.05). Conclusion Fogarty catheter embolectomy combined with multiple minimally invasive techniques can be one of the surgical treatment methods for acute limb ischemia, which is characterized by minimally invasive surgery and effective treatment.

Citation： LIGuo-jian, YANGYong, YANGGuo-kai, WANJia, MAZhen-huan, LUPing, DULing-juan. The Effect of Fogarty Catheter Embolectomy Combined with Multiple Minimally Invasive Techniques for Acute Limb Ischemia. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2014, 21(6): 688-692. doi: 10.7507/1007-9424.20140165 Copy

1.	?Creager MA, Dzau VJ, Loscalzo J著.王宏宇,龔蘭生,胡大一譯.血管醫學[M].北京:北京大學醫學出版社, 2009:683-685.
2.	盧勇,鄭月宏,劉昌偉.我國急性下肢缺血外科治療現狀分析[J].臨床外科雜志, 2011, 19(5):302-307.
3.	Katzen BT.Clinical diagnosis and prognosis of acute limb ischemia[J].Rev Cardiovasc Med, 2002, 3 Suppl 2:S2-S6.
4.	卡維,殷恒諱,姚陳,等.急性下肢動脈缺血的臨床研究[J/CD].中國血管外科雜志:電子版, 2011, 3(4):218-221.
5.	車海杰,楊牟,張居文,等.DSA下動脈取栓與傳統的動脈取栓手術效果的比較研究[J].中國醫師雜志, 2011, z1:7-10.
6.	李國劍,楊鏞,楊國凱,等.自體外周血干細胞移植治療血栓閉塞性脈管炎的臨床應用[J].中國普外基礎與臨床雜志, 2012, 19(11):1187-1190.
7.	沈海剛,王雄.踝肱指數在下肢動脈缺血性疾病診治中的應用[J].浙江中西醫結合雜志, 2012, 22(6):472-473.
8.	Schumann R, Rieger J, Ludwig M.Acute peripheral arterial occlusive disease[J].Med Klin (Munich), 2007, 102(6):457-471.
9.	汪忠鎬,張建,谷涌泉.實用血管外科與血管介入治療學[M].北京:人民軍醫出版社, 2004:241-246.
10.	楊鏞,王深明,徐克.微創血管外科學[M].北京:科學出版社, 2011:121-139.
11.	車海杰,楊牟,張居文,等.下肢急性動脈栓塞DSA下取栓116例臨床分析[J].中國老年學雜志, 2011, 31(9):1657-1658.
12.	李國劍,楊國凱,何曉明,等.下肢急性動脈缺血的治療及并發癥的防治[J].中華臨床醫學實踐雜志, 2009, 8(3):165-166.
13.	張文婧,宋冰,侯澎,等.急性下肢動脈缺血再灌注損傷的機制和防治[J].中國民族民間醫藥, 2009, 18(z1):146-147.
14.	萬嘉,楊鏞,時德,等.重癥肢體缺血致肌病腎病代謝綜合征25例[J].臨床醫學, 2009, 29(4):32-33.
15.	慈紅波,戈小虎,劉杰,等.急性動脈栓塞致肌病腎病代謝綜合征診斷與治療[J].國際外科學雜志, 2009, 36(10):655-657.
16.	郭曙光,周興立,方偉,等.DSA監視下急性下肢缺血的介入聯合手術治療[J].中華普通外科雜志, 2007, 22(4):288-290.
17.	李宴節,趙增富,崔進國,等.介入技術在下肢急性動脈栓塞中的應用[J].臨床誤診誤治, 2011, 24(6):59-61.
18.	Ouriel K, Shortell CK, DeWeese JA, et al.A comparison of thrombolytic therapy with operative revascularization in the initial treatment of acute peripheral arterial ischemia[J].J Vasc Surg, 1994, 19(6):1021-1030.
19.	Ouriel K, Veith FJ, Sasahara AA, et al.A comparison of recombinant urokinase with vascular surgery as initial treatment for acute arterial occlusion of the legs.Thrombolysis or Peripheral Arterial Surgery (TOPAS) Investigators[J].N Engl J Med, 1998, 338(16):1105-1111.
20.	張磊,王靜砉,李彥輝,等.手術聯合介入治療合并動脈硬化的急性下肢動脈栓塞臨床觀察[J].河北醫學, 2008, 14(11):1320-1322.
21.	婁堯強,徐侃,王林君,等.置管溶栓術在下肢急性動脈栓塞治療中的應用[J].浙江創傷外科, 2011, 16(1):89-91.
22.	李城,王峰,紀東華,等.急性下肢動脈栓塞介入綜合治療臨床應用[J].當代醫學, 2011, 17(14):8-9.
23.	閆瑞強,何俊峰,李啟民.急性下肢動脈血栓栓塞介入綜合治療的分析[J].中外醫療, 2012, 31(12):122, 128.
24.	厲建林.雜交手術治療下肢急性動脈栓塞的策略[J].中國普通外科雜志, 2013, 22(6):762-765.
25.	Casserly IP, Sachar R, Yadav JS.Practical peripheral vascular intervention[M].Lippincott:Williams&Wilkins, 2011:194-217.

1. ?Creager MA, Dzau VJ, Loscalzo J著.王宏宇,龔蘭生,胡大一譯.血管醫學[M].北京:北京大學醫學出版社, 2009:683-685.
2. 盧勇,鄭月宏,劉昌偉.我國急性下肢缺血外科治療現狀分析[J].臨床外科雜志, 2011, 19(5):302-307.
3. Katzen BT.Clinical diagnosis and prognosis of acute limb ischemia[J].Rev Cardiovasc Med, 2002, 3 Suppl 2:S2-S6.
4. 卡維,殷恒諱,姚陳,等.急性下肢動脈缺血的臨床研究[J/CD].中國血管外科雜志:電子版, 2011, 3(4):218-221.
5. 車海杰,楊牟,張居文,等.DSA下動脈取栓與傳統的動脈取栓手術效果的比較研究[J].中國醫師雜志, 2011, z1:7-10.
6. 李國劍,楊鏞,楊國凱,等.自體外周血干細胞移植治療血栓閉塞性脈管炎的臨床應用[J].中國普外基礎與臨床雜志, 2012, 19(11):1187-1190.
7. 沈海剛,王雄.踝肱指數在下肢動脈缺血性疾病診治中的應用[J].浙江中西醫結合雜志, 2012, 22(6):472-473.
8. Schumann R, Rieger J, Ludwig M.Acute peripheral arterial occlusive disease[J].Med Klin (Munich), 2007, 102(6):457-471.
9. 汪忠鎬,張建,谷涌泉.實用血管外科與血管介入治療學[M].北京:人民軍醫出版社, 2004:241-246.
10. 楊鏞,王深明,徐克.微創血管外科學[M].北京:科學出版社, 2011:121-139.
11. 車海杰,楊牟,張居文,等.下肢急性動脈栓塞DSA下取栓116例臨床分析[J].中國老年學雜志, 2011, 31(9):1657-1658.
12. 李國劍,楊國凱,何曉明,等.下肢急性動脈缺血的治療及并發癥的防治[J].中華臨床醫學實踐雜志, 2009, 8(3):165-166.
13. 張文婧,宋冰,侯澎,等.急性下肢動脈缺血再灌注損傷的機制和防治[J].中國民族民間醫藥, 2009, 18(z1):146-147.
14. 萬嘉,楊鏞,時德,等.重癥肢體缺血致肌病腎病代謝綜合征25例[J].臨床醫學, 2009, 29(4):32-33.
15. 慈紅波,戈小虎,劉杰,等.急性動脈栓塞致肌病腎病代謝綜合征診斷與治療[J].國際外科學雜志, 2009, 36(10):655-657.
16. 郭曙光,周興立,方偉,等.DSA監視下急性下肢缺血的介入聯合手術治療[J].中華普通外科雜志, 2007, 22(4):288-290.
17. 李宴節,趙增富,崔進國,等.介入技術在下肢急性動脈栓塞中的應用[J].臨床誤診誤治, 2011, 24(6):59-61.
18. Ouriel K, Shortell CK, DeWeese JA, et al.A comparison of thrombolytic therapy with operative revascularization in the initial treatment of acute peripheral arterial ischemia[J].J Vasc Surg, 1994, 19(6):1021-1030.
19. Ouriel K, Veith FJ, Sasahara AA, et al.A comparison of recombinant urokinase with vascular surgery as initial treatment for acute arterial occlusion of the legs.Thrombolysis or Peripheral Arterial Surgery (TOPAS) Investigators[J].N Engl J Med, 1998, 338(16):1105-1111.
20. 張磊,王靜砉,李彥輝,等.手術聯合介入治療合并動脈硬化的急性下肢動脈栓塞臨床觀察[J].河北醫學, 2008, 14(11):1320-1322.
21. 婁堯強,徐侃,王林君,等.置管溶栓術在下肢急性動脈栓塞治療中的應用[J].浙江創傷外科, 2011, 16(1):89-91.
22. 李城,王峰,紀東華,等.急性下肢動脈栓塞介入綜合治療臨床應用[J].當代醫學, 2011, 17(14):8-9.
23. 閆瑞強,何俊峰,李啟民.急性下肢動脈血栓栓塞介入綜合治療的分析[J].中外醫療, 2012, 31(12):122, 128.
24. 厲建林.雜交手術治療下肢急性動脈栓塞的策略[J].中國普通外科雜志, 2013, 22(6):762-765.
25. Casserly IP, Sachar R, Yadav JS.Practical peripheral vascular intervention[M].Lippincott:Williams&Wilkins, 2011:194-217.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

The Effect of Fogarty Catheter Embolectomy Combined with Multiple Minimally Invasive Techniques for Acute Limb Ischemia

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content