Rilinger N, Görich J, Scharrer-Pamler R, Vogel J, Tomczak R, Sokiranski R, Brambs H J
Department of Radiology, University of Ulm, Germany.
Br J Radiol. 1997 Jan;70:80-4. doi: 10.1259/bjr.70.829.9059300.
We report our preliminary experience using the Amplatz device for percutaneous thromboembolectomy in acute occlusion in both the profunda femoris artery (PFA) and superficial femoral artery (SFA) in four patients (mean age 78.5 years). All patients suffered from acute lower limb ischaemia, Fontaine Grade 3, due to cardiac embolization. Estimated occlusion times range from 3 h to 3 days. All four patients were treated successfully. Device activation time for both the PFA and the SFA was 85 s +/- 15 s. Total procedure time was 25 min +/- 10 min. There was no need for adjunctive procedures or intensive care monitoring. We conclude that the Amplatz device is a very effective and safe procedure for the quick restoration of vascular patency in cases of simultaneous embolically occluded PFA and SFA.
我们报告了在4例患者(平均年龄78.5岁)中使用Amplatz装置对股深动脉(PFA)和股浅动脉(SFA)急性闭塞进行经皮血栓切除术的初步经验。所有患者均因心脏栓塞而患有急性下肢缺血,Fontaine 3级。估计闭塞时间为3小时至3天。所有4例患者均成功接受治疗。PFA和SFA的装置激活时间为85秒±15秒。总手术时间为25分钟±10分钟。无需辅助手术或重症监护监测。我们得出结论,对于同时发生栓塞性闭塞的PFA和SFA病例,Amplatz装置是一种非常有效且安全的快速恢复血管通畅的手术方法。