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使用JetStream G3装置经皮血管腔内斑块旋切术后下肢远端栓塞的成功处理。

Successful management of lower extremity distal embolization following percutaneous atherectomy with the JetStream G3 device.

作者信息

Reeves Ryan, Imsais Joseph K, Prasad Anand

机构信息

University of California San Diego, Department of Medicine, Division of Cardiology, San Diego, CA, USA.

出版信息

J Invasive Cardiol. 2012 Jun;24(6):E124-8.

Abstract

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.

摘要

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。

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