Starck E E, McDermott J C, Crummy A B, Turnipseed W D, Acher C W, Burgess J H
Radiology. 1985 Jul;156(1):61-6. doi: 10.1148/radiology.156.1.3159042.
Percutaneous aspiration thromboembolectomy (PAT) was used as an angioplastic tool to remove from arteries of the lower limbs thromboembolitic material originating from any source. PAT was performed with a custom-designed catheter/sheath system, alone or in combination with balloon dilatation and/or local lytic infusion therapy with streptokinase or urokinase. PAT completed the restoration of blood flow, thus improving the results of the preceding angioplastic interventions. Clinical improvement was high, with 93% success (42 of 45 procedures). Only one below-the-knee amputation occurred, and could not be prevented. No patient became worse because of PAT intervention. The Fogarty catheter technique remains the method of choice for removing emboli within the aorto-iliac region, but in the smaller vessels below the inguinal ligament-especially in the distal superficial femoral, popliteal, and tibial regions--in our experience PAT is superior. This has been substantiated also in studies of laboratory animals, using barium-impregnated emboli.
经皮抽吸血栓切除术（PAT）被用作一种血管成形工具，用于清除来自任何来源的下肢动脉血栓栓塞物质。PAT采用定制设计的导管/鞘系统进行，单独使用或与球囊扩张和/或使用链激酶或尿激酶的局部溶栓灌注疗法联合使用。PAT完成了血流的恢复，从而改善了先前血管成形干预的结果。临床改善效果良好，成功率为93%（45例手术中有42例成功）。仅发生了1例膝下截肢，且无法预防。没有患者因PAT干预而病情恶化。Fogarty导管技术仍然是清除主-髂动脉区域内栓子的首选方法，但在腹股沟韧带以下的较小血管中，特别是在股浅动脉远端、腘动脉和胫动脉区域，根据我们的经验，PAT更具优势。在使用钡浸渍栓子的实验动物研究中也证实了这一点。
