Observation of the effect of angiojet to treat acute lower extremity arterial embolization

作     者：Xiao-Hu Meng Xu-Pin Xie Yong-Chang Liu Chang-Pin Huang Lin-Jun Wang Han-Yi Liu Xin Fang Guo-Hui Zhang 

作者机构：Department of Vascular SurgeryThe Affiliated Hangzhou First People's HospitalZhejiang University School of MedicineHangzhou 310006Zhejiang ProvinceChina Department of General SurgeryThe Affiliated Hangzhou First People's HospitalZhejiang University School of MedicineHangzhou 310022Zhejiang ProvinceChina Department of Vascular SurgeryThe Affiliated Hangzhou Cancer HospitalZhejiang University School of MedicineHangzhou 310006Zhejiang ProvinceChina 

出 版 物：《World Journal of Clinical Cases》 (世界临床病例杂志)

年 卷 期：2023年第11卷第15期

页      面：3491-3501页

核心收录：

学科分类：1002[医学-临床医学] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学] 

基　　金：Supported by Hangzhou Medical Health Science and Technology Project,No.20220919Y001 and No.20220919Y004 

主　　题：Acute lower extremity arterial embolism Angiojet thrombectomy Postoperative complications Ankle brachial index Postoperative rehabilitation 

摘      要：BACKGROUND Through significant advances in the treatment of peripheral arterial occlusive disease,acute ischemia of the lower extremity is still associated with significant morbidity,limb threat and *** two main causes of acute ischemia in lower extremities are arterial embolism and atherosclerotic *** recognition and treatment of acute limb ischemia in emergency situations is essential in order to minimize the duration of *** To investigate the application effect of angiojet thrombolysis in the treatment of acute lower extremity arterial *** Sixty-two patients with acute lower extremity arterial embolization admitted to our hospital from May 2018 to May 2020 were *** them,the observation group(twenty-eight cases)had received angiojet thrombolysis,and the control group(thirty-four cases)had received femoral artery incision and *** thrombus clearance,significant residual stenosis of the lumen was combined with balloon dilation and/or stent *** the thrombus removal was not satisfactory,catheter-directed thrombolysis was *** incidence of postoperative complications,recurrence rate and recovery of the two groups were *** There were no significant differences in postoperative recurrence(target vessel reconstruction rate),anklebrachial index and the incidence of postoperative complications between the two groups(P0.05);there were statistically significant differences in postoperative pain score and postoperative rehabilitation between the two groups(P0.05).CONCLUSION The application of angiojet in the treatment of acute lower limb artery thromboembolism disease is safe and effective,minimally invasive,quicker recovery after operation,less postoperative complications,which is more suitable for the treatment of femoral popliteal arterial thromboembolism *** the thrombus removal is not satisfactory,the combination of coronary artery aspiration catheter and