Küffer G, Hansen R, Spengel F A, Steckmeier B, Nathrath W
Klinik und Poliklinik, Universität München.
Rofo. 1991 Sep;155(3):235-41. doi: 10.1055/s-2008-1033253.
We report on the treatment and follow-up of six patients with an unilateral "blue toe" syndrome. This is caused by atheromatous micro-embolisation to the digital arteries and requires urgent attention due to the painful cutaneous necroses and impending digital gangrene. In all patients, Simpson's atherectomy of proximally situated femoropopliteal stenoses caused the pre-gangrenous digital changes to heal completely. In a mean observation period of ten months no relapse occurred. The embolising material was presumably parietal fibrino-platelet thrombi which could be observed with angioscopy and were regularly detectable histologically in the excised tissue.
我们报告了6例单侧“蓝趾”综合征患者的治疗及随访情况。该综合征由粥样硬化微栓子栓塞至指动脉引起，由于疼痛性皮肤坏死及即将发生的指端坏疽，需要紧急处理。在所有患者中，对近端股腘动脉狭窄进行Simpson旋切术后，坏疽前期的指端病变均完全愈合。平均观察期为10个月，无复发情况。栓塞物质推测为血管壁纤维蛋白-血小板血栓，血管镜检查可见，切除组织的组织学检查也可经常检测到。
