Radaideh Qais, Shammas Nicolas W
Midwest Cardiovascular Research Foundation, Davenport, Iowa.
Int J Angiol. 2020 Sep;29(3):205-209. doi: 10.1055/s-0038-1673645. Epub 2018 Oct 18.
Critical limb ischemia is associated with high rates of amputation and death. Endovascular revascularization prevents amputation in approximately 80 to 90% of patients. Traditional access, however, can be a problem in some patients and pedal access may be the only way to provide adequate revascularization and potentially prevents an amputation. We present three cases to illustrate how pedal access can be the last frontier to save a leg.
严重肢体缺血与高截肢率和死亡率相关。血管内血运重建可使约80%至90%的患者避免截肢。然而,传统入路在一些患者中可能存在问题,而经足入路可能是实现充分血运重建并有可能避免截肢的唯一途径。我们展示三例病例以说明经足入路如何成为挽救肢体的最后手段。