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[下肢动脉血栓形成后闭塞中行栓子切除术的适宜性]

[Expediency of embolectomy in post-thrombotic occlusion of arteries of the legs].

作者信息

Ivashchenko V V

出版信息

Vestn Khir Im I I Grek. 1989 Apr;142(4):33-6.

PMID:2800160
Abstract

Restorative operations in patients with acute embologenic arterial obstruction of extremities with terms of the occlusion of the vessels longer than 7 days are thought to be not perspective due to pronounced morphological alterations developing in the vessel wall. Reconstructive-restorative operations are most effective under such conditions but the possibility of them is low because of a severity of the main embologenic disease and the character of the occlusive injury of the vessel. The performance of the timely little-traumatic operation of embolectomy with the help of balloon catheters is a reliable method for prophylactics of postembolic lesions of the vessels.

摘要

对于肢体急性栓塞性动脉阻塞且血管闭塞时间超过7天的患者,由于血管壁出现明显的形态学改变,恢复性手术被认为没有前景。在这种情况下,重建-恢复性手术最为有效,但由于主要栓塞性疾病的严重程度和血管闭塞损伤的性质,实施这类手术的可能性较低。借助球囊导管及时进行微创取栓手术是预防血管栓塞后病变的可靠方法。

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