Staudacher M, Böhm C, End A, Haberzettl C, Müller M R, Vodrazka M
Aus der II. Chirurgischen Univ. Klinik Wien.
Vasa. 1991;20(4):358-64.
Ninety-nine patients underwent embolectomy of upper extremity arteries; in 12% of the cases reoperation and in 4% amputation was necessary. Thrombosis is the cause of reocclusion of the brachial artery, based on endothelial lesions of the axillary passing into the brachial artery. At autopsy studies these andothelial lesions were verified by histological and electron-microscopical examinations in a high percentage. Therefore embolectomies should be performed very carefully by means of thin fogarty catheters. Postoperative anticoagulant therapy seems to improve the survival rate.
99例患者接受了上肢动脉取栓术；其中12%的病例需要再次手术，4%的病例需要截肢。血栓形成是肱动脉再闭塞的原因，其基于从腋动脉延伸至肱动脉的内皮损伤。在尸检研究中，通过组织学和电子显微镜检查证实了这些内皮损伤的发生率很高。因此，应使用细Fogarty导管非常小心地进行取栓术。术后抗凝治疗似乎可提高生存率。
