Holm J, Scherstén T
Acta Chir Scand. 1975;141(5):437-41.
The frequency of arterial embolism is high and seems to be increasing. The introduction of the Fogarty catheter for embolectomy has afforded a considerable simplification of the operative technique. Nevertheless the mortality and amputation rates are still substantially high. Early diagnosis and further improved technique for removal of the embolus may enhance limb salvage and reduce mortality rates. The present paper is a review of 10 years' experience concerning technical problems with embolectomy. The arteriotomy technique, the handling of the catheter, per- and postoperative management, and specific technical problems related to the embolic lodgement at different sites are discussed with the object of giving some hints on how to perform the embolectomy in a safe way and with best chances of a suscessful outcome.
动脉栓塞的发生率很高，且似乎呈上升趋势。用于栓子切除术的福格蒂导管的引入，极大地简化了手术技术。然而，死亡率和截肢率仍然相当高。早期诊断以及进一步改进的栓子清除技术，可能会提高肢体挽救率并降低死亡率。本文回顾了10年关于栓子切除术技术问题的经验。讨论了动脉切开技术、导管操作、围手术期管理以及与不同部位栓子嵌塞相关的特定技术问题，目的是就如何安全地进行栓子切除术以及获得成功结果的最佳机会提供一些提示。
