Reeves Ryan, Imsais Joseph K, Prasad Anand
University of California San Diego, Department of Medicine, Division of Cardiology, San Diego, CA, USA.
J Invasive Cardiol. 2012 Jun;24(6):E124-8.
There has been a resurgence of atherectomy as a strategy to treat peripheral atherosclerosis. Distal embolization occurs frequently during peripheral endovascular interventions but is of particular concern during atherectomy. We describe a case of distal embolization following atherectomy with the Pathway JetStream system successfully managed with aspiration thrombectomy and infrapopliteal angioplasty. A detailed review of the incidence, treatment, and prevention of DE in this context are presented.
作为治疗外周动脉粥样硬化的一种策略，旋切术再度兴起。远端栓塞在外周血管腔内介入治疗期间经常发生，但在旋切术期间尤其令人担忧。我们描述了一例使用Pathway JetStream系统进行旋切术后发生远端栓塞的病例，该病例通过抽吸血栓切除术和腘动脉以下血管成形术成功得到处理。本文还对这种情况下远端栓塞的发生率、治疗及预防进行了详细综述。
