Hutto John D, Reed Amy B
Division of Vascular Surgery, University of Cincinnati Medical Center, Cincinnati, Ohio 45267-0558, USA.
J Vasc Surg. 2007 Jan;45(1):188-90. doi: 10.1016/j.jvs.2006.08.067.
Blunt popliteal arterial injury is uncommon and is usually associated with surrounding soft tissue and orthopedic injuries, which may complicate traditional open operative repair. We present the successful management of a blunt popliteal artery injury through an endovascular approach, where we imaged the lesion, extracted the thrombus, protected against distal embolization, and performed a balloon angioplasty to the intimal lesion. Our approach is the first documented in the literature in which endovascular repair of a blunt popliteal artery injury was performed successfully in an acutely ischemic extremity. Using a filter wire is a novel way to prevent distal embolization during manipulation.
腘动脉钝性损伤并不常见，通常与周围软组织和骨科损伤相关，这可能会使传统的开放手术修复变得复杂。我们通过血管内介入方法成功治疗了一例腘动脉钝性损伤，在此过程中，我们对病变进行了成像，清除了血栓，防止远端栓塞，并对内膜病变进行了球囊血管成形术。我们的方法是文献中首次记载的在急性缺血肢体中成功进行腘动脉钝性损伤血管内修复的案例。使用滤器导丝是在操作过程中预防远端栓塞的一种新方法。
