Beck F, Duchemin J F, Streichenberger T, Feugier P, Chevalier J M
Service de Chirurgie Vasculaire, Hôpital Edouard Herriot, Lyon.
J Mal Vasc. 1996;21 Suppl A:72-5.
Arterial thrombembolectomy with the Fogarty balloon catheter was the standard therapy until now. We present fifty three patients who underwent 63 embolectomies. The rate of leg salvage was 95%, mortality was 18.8%. There is no controversy about the use of the Fogarty balloon catheter in the iliofemoral segment, particularly in patients with acute ischemia. In popliteal and tibial embolic occlusions, associated intraoperative fibrinolytic therapy obtained good results. Percutaneous thrombo aspiration was a complementary technique for few of distal embolic occlusions.
直到现在,使用Fogarty球囊导管进行动脉血栓切除术一直是标准治疗方法。我们报告了53例接受了63次血栓切除术的患者。保肢率为95%,死亡率为18.8%。在髂股段使用Fogarty球囊导管,特别是在急性缺血患者中,不存在争议。在腘动脉和胫动脉栓塞性闭塞中,术中联合使用纤维蛋白溶解疗法取得了良好效果。经皮血栓抽吸术是少数远端栓塞性闭塞的辅助技术。