Short D, Vaughn G D, Jachimczyk J, Gallagher M W, Garcia-Rinaldi R
Ann Surg. 1979 Oct;190(4):555-6. doi: 10.1097/00000658-197910000-00016.
A Fogarty balloon catheter was advanced from the common femoral artery through the popliteal artery and its branches in 15 cadavers. The catheter passed into the peroneal branch 89% of the time. In all 15 cadavers, the peroneal artery was the direct continuation of the popliteal artery and the arterior tibial and posterior tibial arteries branched off at varying angles from the popliteal. This provides an anatomic explanation for the occasional failure of transfemoral Fogarty catheter embolectomy of the leg. Our study suggests that if the patient's foot does not improve after Fogarty embolectomy, the popliteal artery should be exposed and the catheter directed into the shank arteries using vascular forceps.
在15具尸体上，将一根Fogarty球囊导管从股总动脉推进至腘动脉及其分支。导管进入腓动脉分支的成功率为89%。在所有15具尸体中，腓动脉均为腘动脉的直接延续，胫前动脉和胫后动脉以不同角度从腘动脉分支。这为经股Fogarty导管取栓术治疗下肢动脉栓塞偶尔失败提供了解剖学解释。我们的研究表明，如果Fogarty取栓术后患者足部情况未改善，应暴露腘动脉，并使用血管钳将导管插入小腿动脉。
