Stierli P, Bissat A, Tillmann U
Helv Chir Acta. 1989 Jun;56(1-2):29-33.
Seven significant surgical complications in 118 patients after PTA-treatment of the lower extremities are presented. In two cases the puncture site in the vessel had to be sutured, in three patients we had to perform a femoro-popliteal bypass, once a TEA with profundaplasty and in another case an embolectomy of the trifurcation. Our experience reveals that with the indication for PTA, the rate of significant complications and their surgical consequences has to be considered too. A close cooperation between Radiologist, Angiologist and Surgeon is of importance.
本文介绍了118例下肢经皮腔内血管成形术(PTA)治疗后出现的7例严重手术并发症。2例患者血管穿刺部位需缝合,3例患者需行股腘动脉搭桥术,1例行股深动脉成形术联合腰交感神经切除术,另1例需行三叉分支动脉取栓术。我们的经验表明,对于PTA的适应证,也必须考虑严重并发症的发生率及其手术后果。放射科医生、血管病医生和外科医生之间的密切合作至关重要。