Menger M D, Jäger S, Scherer K, Walter P, Kramann B
Vasa. 1989;18(3):215-20.
In 147 patients suffering from arterial occlusive disease of the lower extremities 162 PTAs of the iliac, femoral and popliteal arteries were performed. Thirteen complications occurred in 12 patients, while surgical intervention was necessary in seven cases (4.3%). Hematoma at the site of the arterial puncture were the most frequent complications, requiring acute surgical intervention (n = 3). In two patients, acute vascular occlusion after PTA required bypass operation and thrombendarteriectomy, respectively. In one patient, presenting with an iliac stenosis, PTA was performed using a transaxillar approach and was complicated by an axillar hematoma due to the ruptur of the arteria subscapularis. Furthermore, one patient with an extended hematoma of the abdominal wall required surgical intervention. The results presented indicate that PTA of the lower extremities for treatment of arterial occlusive disease is a procedure with low risk. Complications, which require acute operative therapy, can be treated mostly successful by small surgical interventions.
对147例下肢动脉闭塞性疾病患者进行了162次髂动脉、股动脉和腘动脉的经皮腔内血管成形术（PTA）。12例患者出现了13种并发症，其中7例（4.3%）需要进行手术干预。动脉穿刺部位的血肿是最常见的并发症，需要进行急诊手术干预（n = 3）。2例患者在PTA后出现急性血管闭塞，分别需要进行搭桥手术和血栓内膜切除术。1例患有髂动脉狭窄的患者采用经腋动脉途径进行PTA，因肩胛下动脉破裂并发腋部血肿。此外，1例腹壁广泛血肿的患者需要手术干预。所呈现的结果表明，用于治疗下肢动脉闭塞性疾病的PTA是一种低风险的手术。需要急诊手术治疗的并发症大多可通过小型手术干预成功治疗。
