Brunner U, Bollinger A, Largiadèr F, Schneider E
Department Chirurgie, Universitätsspital, Zürich.
Langenbecks Arch Chir. 1987;372:657-9. doi: 10.1007/BF01297904.
Re-opening of the main arterial pathway is the most efficient method for treatment of arterial occlusive disease in stage III and IV. In addition to surgical thromb-embolectomy catheter procedures such as percutaneous transluminal angioplasty, catheter lysis and catheter extraction of fresh clots may give satisfactory results. The following methods are indicated in acute cases: catheter procedures for occlusions of the popliteal trifurcation and profound femoral artery, segmental occlusions of the superficial femoral artery, femoro-popliteal occlusions with impaired run-off, recurrent occlusions after desobliteration with both surgical methods, occlusions of lower arm arteries; surgical thrombectomy for occlusions of the aortic bifurcation, the iliac arteries, the femoral bifurcation, for femoro-popliteal aneurysms and for occlusions of the subclavian and axillary artery. Both procedures do not exclude each other and may be combined according to the relevant indications.
重新开通主要动脉通路是治疗Ⅲ期和Ⅳ期动脉闭塞性疾病最有效的方法。除了外科血栓清除术外，导管操作如经皮腔内血管成形术、导管溶栓及导管取新鲜血栓也可能取得满意效果。以下方法适用于急性病例：针对腘动脉三叉分支和股深动脉闭塞、股浅动脉节段性闭塞、股腘动脉闭塞伴流出道受损、两种手术方法解除闭塞后复发闭塞、上肢动脉闭塞的导管操作；针对主动脉分叉、髂动脉、股动脉分叉闭塞、股腘动脉瘤以及锁骨下动脉和腋动脉闭塞的外科血栓切除术。这两种方法并不相互排斥，可根据相关指征联合应用。
