Masuoka S, Shimomura T, Ando T, Goto K
J Cardiovasc Surg (Torino). 1980 Jan-Feb;21(1):67-74.
Over the past eight years at the OMCH Fogarty balloon catheter have been used for one hundred instances of acute arterial occlusion and for twenty instances of venous thrombosis. Compication developed on seven occasions, three in the operation for arterial thrombosis and four during venous thrombectomy. Three types of complications in the arterial system were encountered: removal of intima with thrombi, arterial rupture and thrombotic occlusion due to dissection of intima. All of these complications were successfully treated with appropriate procedures. Two types of complications in the venous system were encountered: perforation of iliac vein by the tip of the catheter (3 cases) and loss of the balloon intravenously (1 case). In the former complicated group, the first case died of hemorrhagic shock, the second case recovered uneventfully without any procedures and the last case was successfully trated by operative hemostatic procedure. In the case of latter complication, it was not possible to remove the lost balloon in the left posterior tibial vein in spite of strenuous efforts to retrieve it. Detailed discussion for prevention or treatment of these complications was done chiefly based on our experience.
在过去八年中，在OMCH使用福格蒂球囊导管治疗了100例急性动脉闭塞和20例静脉血栓形成。发生了7次并发症，动脉血栓形成手术中有3次，静脉血栓切除术中有4次。在动脉系统中遇到了三种类型的并发症：内膜与血栓一起切除、动脉破裂以及由于内膜剥离导致的血栓闭塞。所有这些并发症均通过适当的程序成功治疗。在静脉系统中遇到了两种类型的并发症：导管尖端穿破髂静脉（3例）和球囊在静脉内丢失（1例）。在前一组复杂病例中，第一例死于失血性休克，第二例未经任何处理顺利康复，最后一例通过手术止血程序成功治疗。对于后一种并发症，尽管竭尽全力试图取出，但仍无法取出在左胫后静脉中丢失的球囊。主要根据我们的经验对这些并发症的预防或治疗进行了详细讨论。
