Jalal Shwan, Mustapha Jihad A, Rosman Howard S, Mehta Rajendra H, Davis Thomas P
St. John Hospital & Medical Center, 22101 Moross Road VEP, 2nd Floor, Detroit, MI 48236 USA.
J Invasive Cardiol. 2017 Sep;29(9):297-300.
To evaluate the feasibility, effectiveness, and safety of the cuff-occlusion method for distal embolic protection in peripheral artery disease.
We evaluated 61 patients who underwent peripheral vascular intervention (PVI) for infrainguinal lesion at a single center where a blood pressure cuff occlusion method for distal embolic protection was utilized during the procedure. Primary endpoint included incidence of distal embolization, acute limb ischemia, or emergency limb amputation. Safety endpoints were freedom from bleeding, vessel perforation, or dissection. Lesion location was in the superficial femoral artery in 39% of cases and popliteal and infrapopliteal in 61% of patients. Procedural success was achieved in 98.4% of patients and 1 patient had distal embolization. There was no bleeding or perforation or major flow-limiting vessel dissection.
Our study demonstrated that the cuff-occlusion strategy was feasible and safe for protection form distal embolization in PVI. Further study is required to evaluate the efficacy and safety of this novel method compared with existing devices for distal protection.
评估袖带阻断法用于外周动脉疾病远端栓子保护的可行性、有效性及安全性。
我们对61例在单一中心接受下肢病变外周血管介入治疗（PVI）的患者进行了评估，术中采用血压袖带阻断法进行远端栓子保护。主要终点包括远端栓塞、急性肢体缺血或急诊肢体截肢的发生率。安全终点为无出血、血管穿孔或夹层。39%的病例病变位于股浅动脉，61%的患者病变位于腘动脉及腘动脉以下。98.4%的患者手术成功，1例发生远端栓塞。未发生出血、穿孔或严重的限流性血管夹层。
我们的研究表明，袖带阻断策略对于PVI中预防远端栓塞是可行且安全的。与现有的远端保护装置相比，需要进一步研究来评估这种新方法的有效性和安全性。
