Lee Hsin-Fu, Chan Yi-Hsin, Wang Chun-Li
Cardiovascular Division, Department of Internal Medicine; ; Cardiovascular Intervention Center, Chang Gung Memorial Hospital, Linkou, Kweishan Hsiang, Taoyuan, Taiwan.
Cardiovascular Division, Department of Internal Medicine.
Acta Cardiol Sin. 2016 Sep;32(5):623-626. doi: 10.6515/acs20151229a.
A 77-year-old male with subacute right foot ischemia was treated with endovascular therapy to relieve total thrombosis of the pedal arch extending from the dorsalis pedis of the anterior tibial artery into the posterior tibial artery, plantar segment. Because the procedure was only partially successful, rivaroxaban was used for thrombolytic treatment resulting in improvement of the patient's ischemic pain and avoidance of gangrenous progression and surgical amputation. This is the first report describing successful recanalization of pedal arch arterial thrombosis using rivaroxaban in a patient after suboptimal results of endovascular therapy.
一名77岁男性患有亚急性右足缺血,接受了血管内治疗,以缓解从胫前动脉足背延伸至胫后动脉足底段的足弓完全血栓形成。由于该手术仅部分成功,因此使用利伐沙班进行溶栓治疗,从而改善了患者的缺血性疼痛,避免了坏疽进展和手术截肢。这是第一份报告,描述了在血管内治疗效果欠佳的患者中使用利伐沙班成功再通足弓动脉血栓形成的情况。