经足背入路用于严重缺血肢体复杂腘下病变的血管内血运重建：一项队列研究
Trans-pedal access for endovascular revascularization in complex infra-popliteal lesions in critically ischemic limb: A cohort study.
作者信息
Abdelgawad Mohamed S, Wahba Adel, Elshafie Amr M, Abdelnaby Mahmoud, Mowafy Khalid A
机构信息
Department of Vascular Surgery, Faculty of Medicine, Mansoura University, Egypt.
出版信息
Ann Med Surg (Lond). 2022 Jul 31;81:104215. doi: 10.1016/j.amsu.2022.104215. eCollection 2022 Sep.
BACKGROUND
critical limb ischemia is one of the most challenging cases we face nowadays with high risk for amputation, retrograde trans-pedal angioplasty offers an alternative technique after failure of traditional ante-grade angioplasty.
PATIENTS AND METHODS
96 patients underwent trans-pedal or trans-tibial retrograde angioplasty after failure of the traditional ante-grade angioplasty with the aid of US, 21-gauge needle and 0.018 wire through sheath-less approach as a last chance for revascularization.
RESULTS
clinical success or improvement in 77 cases (80.2%), and in other 19 cases (19.8%) there was no clinical success or improvement. The technical success was achieved in 81 cases with percentage of (84.4%), and not achieved in 15 cases (15.6%) only.
CONCLUSIONS
Retrograde Trans-pedal angioplasty is an efficient, safe, and practical procedure with a high technical success and a relatively minimal procedural adverse effect.
背景
严重肢体缺血是我们目前面临的最具挑战性的病例之一，截肢风险高，在传统顺行血管成形术失败后，逆行经足血管成形术提供了一种替代技术。
患者与方法
96例患者在传统顺行血管成形术失败后，借助超声、21号针和0.018导丝，通过无鞘入路接受经足或经胫逆行血管成形术，作为血管再通的最后机会。
结果
77例（80.2%）临床成功或改善，另外19例（19.8%）临床未成功或未改善。81例（84.4%）技术成功，仅15例（15.6%）技术未成功。
结论
逆行经足血管成形术是一种有效、安全且实用的手术，技术成功率高，手术不良反应相对较少。
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