Cleveland T J, Cumberland D C, Gaines P A
Department of Radiology, Royal Hallamshire Hospital, Sheffield.
Clin Radiol. 1994 Aug;49(8):549-52. doi: 10.1016/s0009-9260(05)82935-6.
Percutaneous aspiration thromboembolectomy (PAT) can be used to treat the embolic complications of angioplasty. The same technique is of value during thrombolysis to remove large pieces of thrombus. We report on our experience with PAT in 21 patients. Fourteen of these patients had embolization complicating peripheral angioplasty and in one case embolus complicated directional atherectomy. PAT was successful in 87% of these patients (13/15). In six patients undergoing thrombolysis of acute peripheral occlusions, all had successful PAT to shorten their treatment episode immediately prior to angioplasty of any underlying stenosis. PAT can be performed with a simple, inexpensive catheter under fluoroscopic control and therefore offers significant advantages over a surgical embolectomy using the Fogarty balloon catheter. PAT is a useful treatment option for the vascular radiologist.
经皮抽吸血栓切除术（PAT）可用于治疗血管成形术的栓塞并发症。在溶栓过程中，同样的技术对于清除大块血栓也很有价值。我们报告了21例患者接受PAT的经验。其中14例患者因外周血管成形术出现栓塞并发症，1例患者因定向斑块旋切术出现栓子并发症。这些患者中87%（13/15）的PAT治疗成功。在6例急性外周血管闭塞进行溶栓治疗的患者中，所有患者在对任何潜在狭窄进行血管成形术之前，均通过PAT成功缩短了治疗时间。PAT可在透视控制下使用简单、廉价的导管进行，因此与使用Fogarty球囊导管进行外科栓子切除术相比具有显著优势。PAT是血管放射科医生的一种有用的治疗选择。
