Höpfner W, Vicol C, Bohndorf K, Loeprecht H
Klinik für Diagnostische Radiologie und Neuroradiologie, Zentralklinikums Augsburg.
Rofo. 1996 Feb;164(2):141-5. doi: 10.1055/s-2007-1015626.
First clinical applications in the femoro-popliteal vessels of a new system for percutaneous, transluminal hydrodynamic thrombectomy are presented.
Three patients suffering from femoro-popliteal thromboembolic obstruction were treated. A new hydrodynamic 8-F catheter with two lumina was used. The jet leaving at the tip of the catheter shredded the thrombotic material. Using the Venturi effect the thrombus was collected. The shredded material was transported outside through the second channel of the catheter.
All obstructions could be removed. Underlying degenerative vessel disease and older thromboemboli needed additional therapy like PTA or aspiration thrombectomy (PAT).
The new catheter is helpful in removing arterial femoro-popliteal thromboembolic obstructions. Additional interventions may be necessary. More clinical experience is needed.
介绍一种经皮腔内水动力血栓切除术新系统在股腘血管中的首次临床应用。
治疗3例股腘血栓栓塞性梗阻患者。使用一种新型的带有两个腔的8F水动力导管。从导管尖端喷出的射流将血栓物质切碎。利用文丘里效应收集血栓。切碎的物质通过导管的第二个通道输送到体外。
所有梗阻均能被清除。潜在的退行性血管疾病和陈旧性血栓栓子需要额外的治疗，如经皮腔内血管成形术（PTA）或抽吸血栓切除术（PAT）。
新导管有助于清除股腘动脉血栓栓塞性梗阻。可能需要额外的干预措施。需要更多的临床经验。
