Ye J R, Fu W G, Jiang J H
Zhongshan Hospital, Shanghai Medical University.
Zhonghua Wai Ke Za Zhi. 1994 Mar;32(3):152-3.
We treated successfully 9 patients with middle stage arterial embolism through both Fogarty catheter embolectomy and directly pouring thrombolytic agents into artery. In all patients the extremities were salvaged and symptoms disappeared. The patients were operated upon 15, 30, 60 hours and 3, 5, 8, 30, 39, 40 days respectively after onset of the disease. The indications for this treatment are dependent on how many hours last between onset and treatment and whether the extremity is gangrened. The main embolus in the greater artery can be removed by Fogarty catheter, while the thrombosis in smaller artery can be resolved by directly arterial luminal pouring thrombolytic agents, so the result is better if the two methods are combined.
我们通过Fogarty导管取栓术和直接向动脉内灌注溶栓剂，成功治疗了9例中期动脉栓塞患者。所有患者的肢体均得以保全，症状消失。患者分别在发病后15、30、60小时以及3、5、8、30、39、40天接受手术。这种治疗方法的适应证取决于发病至治疗的时长以及肢体是否发生坏疽。大动脉内的主要栓子可通过Fogarty导管取出，而小动脉内的血栓则可通过直接向动脉腔内灌注溶栓剂来溶解，因此两种方法联合使用效果更佳。
