在踝关节处对动脉进行血栓切除术。

Youkey J R, Clagett G P, Cabellon S, Eddleman W L, Salander J M, Rich N M

Ann Surg. 1984 Mar;199(3):367-71. doi: 10.1097/00000658-198403000-00020.

Experience with 11 cases of thromboembolectomy of leg arteries explored at the ankle is presented. Patency was established in 19 of 23 arteries (83%), resulting in salvage of 11 of 14 limbs (79%). This experience documents success of this technique with follow-up ranging from 2 to 70 months (mean followup, 24.7 months). Current indications for the procedure include 1) incomplete extraction of thrombus via the popliteal trifurcation, 2) incomplete transfemoral extraction of thrombus with restoration of a popliteal pulse, and 3) thromboembolus initially confined to the infrapopliteal arteries.

本文介绍了11例在踝关节处进行腿部动脉血栓切除术的经验。23条动脉中有19条（83%）实现了血管通畅，从而使14条肢体中的11条（79%）得以挽救。该经验证明了这项技术的成功，随访时间为2至70个月（平均随访时间为24.7个月）。该手术目前的适应证包括：1）经腘动脉三叉处血栓清除不完全；2）经股动脉血栓清除不完全但腘动脉脉搏恢复；3）血栓栓塞最初局限于腘动脉以下动脉。