Gaines P A, Swarbrick M J, Lopez A J, Cleveland T, Beard J, Buckenham T M, Belli A M, Kessel D
Sheffield Vascular Institute, Northern General Hospital, U.K.
Eur J Vasc Endovasc Surg. 1999 Feb;17(2):106-10. doi: 10.1053/ejvs.1998.0704.
To review our experience of the endovascular management of upper limb embolisation secondary to an ipsilateral proximal arterial lesion.
A retrospective study.
Over 3 years, 17 patients presented with blue fingers secondary to an ipsilateral proximal vascular lesion. These have been managed using transluminal angioplasty (14) and arterial stenting (five), combined with embolectomy (two) and anticoagulation (three)/anti-platelet therapy (14).
All the patients were treated successfully. There have been no further symptomatic embolic episodes originating from any of the treated lesions, and no surgical amputations. Complications were associated with the use of brachial arteriotomy for vascular access.
Endovascular techniques are safe and effective in the management of upper limb embolic phenomena associated with an ipsilateral proximal focal vascular lesion.
回顾我们对同侧近端动脉病变继发上肢栓塞进行血管内治疗的经验。
一项回顾性研究。
在3年多的时间里，17例患者因同侧近端血管病变出现手指发绀。这些患者接受了经皮腔内血管成形术（14例）和动脉支架置入术（5例），并联合栓子切除术（2例）和抗凝治疗（3例）/抗血小板治疗（14例）。
所有患者均成功治疗。未再出现源自任何治疗病变的有症状栓塞事件，也未进行手术截肢。并发症与使用肱动脉切开术进行血管通路有关。
血管内技术在治疗与同侧近端局灶性血管病变相关的上肢栓塞现象方面安全有效。
