Ibrahim Mudathir, Swearingen Bruce, Pu Sirui, Rhee Robert, Pu Qinghua
Division of Vascular Surgery, 2042Maimonides Medical Center, Brooklyn, NY, USA.
Innovations (Phila). 2022 May-Jun;17(3):231-236. doi: 10.1177/15569845221096126. Epub 2022 May 13.
There is no consensus on the best treatment modality for acute distal embolization complications during endovascular interventions for peripheral arterial diseases. We report on 3 patients who underwent mechanical embolectomy using a distal embolic protection device (EPD). All patients showed angiographic evidence of distal embolism, which occurred during lower extremity limb salvage endovascular procedures. After embolectomy, all had complete recanalization of the involved vessel on completion angiogram, and none had any device-related complications or adverse outcomes from the embolization. This initial experience suggests that EPD can be used for both the prevention and treatment of intraoperative distal embolization during endovascular intervention of lower extremity arterial disease.
对于外周动脉疾病血管内介入治疗期间急性远端栓塞并发症的最佳治疗方式，目前尚无共识。我们报告了3例使用远端栓子保护装置（EPD）进行机械取栓术的患者。所有患者均有远端栓塞的血管造影证据，这些栓塞发生在下肢肢体挽救血管内手术过程中。取栓术后，所有患者在完成血管造影时受累血管均完全再通，且无一例出现与装置相关的并发症或栓塞导致的不良后果。这一初步经验表明，EPD可用于下肢动脉疾病血管内介入治疗期间术中远端栓塞的预防和治疗。
