股腘段内膜下再通以促进膝下截肢残端溃疡的愈合。
Subintimal recanalization of the femoropopliteal segment to promote healing of an ulcerated below-knee amputation stump.
作者信息
Karkos Christos D, Bright Elizabeth, Bolia Amman, London Nicholas J M
机构信息
Department of Vascular & Endovascular Surgery, Leicester, UK.
出版信息
J Endovasc Ther. 2006 Jun;13(3):420-3. doi: 10.1583/05-1788.1.
PURPOSE
To describe the use of the subintimal technique to revascularize an ulcerated below-knee amputation stump.
CASE REPORT
A 64-year-old man with persistent ulceration of a below-knee amputation stump underwent attempted percutaneous revascularization. Via antegrade puncture, the femoropopliteal occlusion was recanalized subintimally and eventually opened into a large medial geniculate collateral branch, improving the stump flow. The procedure was uneventful, and at 6 months, the patient was pain-free and able to mobilize with his prosthetic limb.
CONCLUSION
Subintimal revascularization of a critically-ischemic below-knee amputation stump may be a useful option and should be considered in clinical situations like this.
目的
描述运用内膜下技术为膝下截肢残端溃疡部位进行血管重建。
病例报告
一名64岁男性，膝下截肢残端持续溃疡，尝试进行经皮血管重建。通过顺行穿刺，股腘动脉闭塞病变经内膜下再通，最终开通至一条粗大的膝内侧副支，改善了残端血流。手术过程顺利，6个月时，患者无疼痛，能够使用假肢活动。
结论
对于严重缺血的膝下截肢残端，内膜下血管重建可能是一种有用的选择，在这类临床情况下应予以考虑。
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