Ochsner Heart and Vascular Institute, New Orleans, LA, USA.
Vasc Med. 2013 Oct;18(5):307-13. doi: 10.1177/1358863X13505643. Epub 2013 Oct 4.
Acute limb ischemia (ALI) is defined as a sudden decrease (<14 days) in limb perfusion causing a potential threat to limb viability. Endovascular treatment of ALI is an effective and appropriate primary treatment strategy in patients with a viable acutely ischemic limb due to a recent arterial occlusion. We present a case of acute limb ischemia and discuss percutaneous interventional treatment strategies including catheter-directed thrombolysis, rheolytic thrombectomy, and utilization of distal protection devices.
急性肢体缺血(ALI)定义为肢体灌注突然减少(<14 天),导致肢体存活受到潜在威胁。对于由于近期动脉闭塞而导致急性缺血肢体有存活可能的患者,血管内治疗是一种有效的、合适的初始治疗策略。我们报告了一例急性肢体缺血病例,并讨论了经皮介入治疗策略,包括导管定向溶栓、旋切血栓切除术和使用远端保护装置。