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腘动脉和足底动脉亚急性血栓形成的“挽救生命”干预措施

['Life-saving' interventions in subacute thrombosis of crural and plantar arteries].

作者信息

Platonov S A, Zavatskiĭ V V, Novitskiĭ A S, Alimkhadzhiev I A, Zenin A V, Zhigalo V N, Kandyba D V, Dudanov I P

机构信息

Saint Petersburg Scientific Research Institute for Emergency Ambulance Care named after I.I. Dzhanelidze, Saint Petersburg, Russia.

Department of Roentgenosurgical Methods of Diagnosis and Treatment, Municipal Mariinskaya Hospital, Saint Petersburg, Russia.

出版信息

Angiol Sosud Khir. 2017;23(3):56-60.

Abstract

The authors report a clinical case concerning successful endovascular treatment for subacute thrombosis of crural and plantar arteries in a patient with the only leg, substantiating therapeutic decision making with due regard for the duration of thrombosis and localization of the lesion of the arterial bed. Taking into consideration the statistical data on survival in case of performing major amputation in this cohort of patients, an 'aggressive' endovascular approach including three vascularizations made it possible not only to preserve the leg but also to save the patient's life.

摘要

作者报告了一例针对单腿患者小腿和足底动脉亚急性血栓形成的成功血管内治疗临床病例,通过适当考虑血栓形成的持续时间和动脉床病变的定位来证实治疗决策。考虑到该组患者进行大截肢后的生存统计数据,包括三次血管化的“积极”血管内治疗方法不仅使保住腿部成为可能,还挽救了患者的生命。

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