Wissgott C, Kamusella P, Andresen R
Institute of Diagnostic and Interventional Radiology, WKK-Klinikum Heide, Heide, Germany.
J Cardiovasc Surg (Torino). 2011 Aug;52(4):477-84.
Acute and subacute ischemia of the lower limb are still a common reason for amputation. Surgical thrombectomy according to Fogarty has declined in importance, due to the increased incidence of perioperative complications, while local intraarterial lysis is also associated with an increased rate of hemorrhagic complications, beside the prolonged time up to revascularisation, which additionally results in the need for intensive care monitoring. As an endovascular therapeutic option, various mechanical thrombectomy systems have been available over the past few years that studies have shown to have a low rate of complications, accompanied by a high technical success rate and low amputation rate. This review article will present the mechanism of action of the various mechanical thrombectomy systems that are currently in use and analyze the study results available on the respective systems.
下肢急性和亚急性缺血仍然是截肢的常见原因。由于围手术期并发症的发生率增加，按照福格蒂方法进行的外科血栓切除术的重要性已有所下降，而局部动脉内溶栓除了血管再通所需时间延长外，还与出血并发症发生率增加有关，这还导致需要重症监护监测。作为一种血管内治疗选择，在过去几年中已经有了各种机械血栓切除术系统，研究表明这些系统并发症发生率低，技术成功率高且截肢率低。这篇综述文章将介绍目前正在使用的各种机械血栓切除术系统的作用机制，并分析各系统现有的研究结果。
