Department of Cardiovascular Section, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma, USA.
Catheter Cardiovasc Interv. 2010 May 1;75(6):838-42. doi: 10.1002/ccd.22384.
Acute aortofemoral graft occlusion is often effectively treated with endovascular therapy but a substantial proportion of patients experience failure or complications of this therapy, and most of them require definitive surgery for the underlying inflow, outflow, or graft disease. We describe a case of an aortofemoral graft occlusion that was successfully treated with the Trellis thrombectomy-thrombolysis system (Covidien, Dublin, Ireland). Subsequent stenting of the graft obviated the need for a definitive graft revision surgery. The Trellis system combines mechanical and local pharmacologic lysis of the thrombus, with more rapid and more effective thrombus dissolution and theoretically less risk of systemic dispersion of the thrombolytic agent and less bleeding.
急性主髂动脉移植物闭塞通常可以通过血管内治疗有效地治疗，但相当一部分患者会出现治疗失败或并发症，其中大多数患者需要对潜在的流入道、流出道或移植物疾病进行确定性手术。我们描述了一例使用 Trellis 血栓切除术-溶栓系统（爱尔兰都柏林科维迪安公司）成功治疗的主髂动脉移植物闭塞病例。随后对移植物进行支架置入术，避免了对移植物进行确定性修复手术的需要。Trellis 系统将机械和局部溶栓相结合，血栓溶解更快、更有效，理论上溶栓剂全身扩散的风险更小，出血更少。
