髂动脉半封闭性内膜切除术的特定并发症

Specific complications of semi-closed endarterectomy from the iliac arteries.

作者信息

Zoloev G K, Koval' O A, Litvinovskiĭ S V, Ivatsin N P

机构信息

Department of Vascular Surgery, Novokuznetsk Scientific Center of Medicosocial Expert Evaluation and Rehabilitation of Invalids, Federal Agency for Public Health and Social welfare, Novokuznetsk, Russia.

出版信息

Angiol Sosud Khir. 2006;12(4):121-6.

PMID:17679965

Abstract

Altogether 104 patients were examined. Semi-closed endarterectomy from the iliac arteries was attempted in 110 limbs of these patients. In 13.6% of cases, operation was unsuccessful. In 3.6% of cases, the failure was caused by arterial perforation when applying a loop-shaped tool. Ninety-five patients underwent deobliteration of the iliac arteries. In the short-term postoperative period, 2 (2.1%) patients developed reocclusion of the operated segment and 5 (5.3%) had acute ischemia of the contralateral limb. The causes and the clinical importance of errors and complications from semi-closed endarterectomy are discussed.

摘要

总共检查了104例患者。对这些患者的110条肢体尝试进行髂动脉半封闭式内膜切除术。在13.6%的病例中，手术未成功。在3.6%的病例中，失败是由于应用环形工具时动脉穿孔所致。95例患者接受了髂动脉再通术。术后短期内，2例（2.1%）患者手术段出现再闭塞，5例（5.3%）对侧肢体发生急性缺血。讨论了半封闭式内膜切除术错误和并发症的原因及临床重要性。