Wagner H J, Starck E E
Institut für Röntgendiagnostik, Kassel, Germany.
Radiology. 1992 Feb;182(2):403-7. doi: 10.1148/radiology.182.2.1732957.
Percutaneous aspiration embolectomy (PAE) was performed on acute embolic occlusions of infrainguinal arteries unrelated to percutaneous transluminal angioplasty or chronic atherosclerotic arterial occlusive disease. Of 102 patients, most (62.7% [n = 64]) had limb-threatening ischemia (stages III and IV according to the Fontaine classification); 86.3% (n = 88) had cardiac disease that caused the embolic occlusion. The clinical success rate was 87.3% (n = 89). Major complications occurred in 8.8% (n = 9) of the cases. The 30-day mortality was 3.9% (n = 4). In comparison with Fogarty-catheter embolectomy, PAE has a higher success rate and a lower mortality. PAE has several advantages: It is a simple technique with reduced invasiveness, combines a diagnostic and a therapeutic procedure, enables treatment of tibial and pedal vessels, and can be combined with all other angioplastic methods.
对与经皮腔内血管成形术或慢性动脉粥样硬化性闭塞病无关的股腘动脉急性栓塞性闭塞进行经皮抽吸栓子切除术（PAE）。在102例患者中，大多数（62.7%[n = 64]）有肢体威胁性缺血（根据Fontaine分类为III期和IV期）；86.3%（n = 88）有导致栓塞性闭塞的心脏病。临床成功率为87.3%（n = 89）。主要并发症发生在8.8%（n = 9）的病例中。30天死亡率为3.9%（n = 4）。与Fogarty导管栓子切除术相比，PAE具有更高的成功率和更低的死亡率。PAE有几个优点：它是一种简单的技术，侵袭性降低，将诊断和治疗程序相结合，能够治疗胫部和足部血管，并且可以与所有其他血管成形方法联合使用。
