[1]公茂峰,顾建平,陈国平,等.AngioJet血栓清除术在急性下肢动脉缺血治疗中的应用 [J].介入放射学杂志,2017,(06):509-513.
GONG Maofeng,GU Jianping,CHEN Guoping,et al.The application of percutaneous mechanical thrombectomy with AngioJet system in management of acute lower limb arterial ischemia[J].journal interventional radiology,2017,(06):509-513.
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AngioJet血栓清除术在急性下肢动脉缺血治疗中的应用
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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]
- 卷:
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- 期数:
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2017年06期
- 页码:
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509-513
- 栏目:
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血管介入
- 出版日期:
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2017-06-25
文章信息/Info
- Title:
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The application of percutaneous mechanical thrombectomy with AngioJet system in management of acute lower limb arterial ischemia
- 作者:
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公茂峰; 顾建平; 陈国平; 何 旭; 楼文胜; 陈 亮; 苏浩波; 宋进华; 施万印; 汪 涛; 赵伯翔; 黄 昊; 李英豪
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- Author(s):
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GONG Maofeng; GU Jianping; CHEN Guoping; HE Xu; LOU Wensheng; CHEN Liang; SU Haobo; SONG Jinhua; SHI Wanyin; WANG Tao; ZHAO Boxiang; HUANG Hao; LI Yinghao
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Department of Interventional Radiology, Nanjing First Hospital, Nanjing Medical University, Nanjing, Jiangsu Province 210006, China
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- 关键词:
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【关键词】 AngioJet血栓清除装置; 经皮机械血栓清除术; 急性动脉缺血; 保肢
- 文献标志码:
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A
- 摘要:
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【摘要】 目的 探讨AngioJet血栓清除术在治疗急性下肢动脉缺血(ALI)中的临床应用价值。方法 回顾性分析2015年1月至2016年11月经AngioJet血栓清除术治疗的12例ALI患者临床资料,以心肌梗死溶栓(TIMI)治疗后血流分级评估血流灌注情况,Cooley疗效评分标准评价临床疗效。结果 AngioJet血栓清除术技术成功率为91.7%(11/12),平均恢复灌注时间为(1.6±0.7) h。临床成功率为83.3%(10/12),保肢率为91.7%(11/12)。TIMI分级由术前0级8例, 1级4例,改善为术后即刻0级1例,1级3例,2级8例。11例(91.7%)下肢缺血症状有明显改善,1例(8.3%)术后虽经导管接触溶栓(CDT)治疗24 h,但TIMI分级仍0级且肢体缺血症状未改善,予以外科膝上截肢治疗。Cooley疗效评分显示,痊愈4例(33.3%),良好6例(50.0%),一般1例(8.3%),较差1例(8.3%),未发生严重出血并发症。结论 AngioJet血栓清除术可快速恢复ALI患者血流灌注,阻止病变进一步恶化,提高保肢率,有较好的临床应用价值。
参考文献/References:
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[2] Patel NH, Krishnamurthy VN, Kim S, et al. Quality improvement guidelines for percutaneous management of acute lower- extremity ischemia[J]. J Vasc Interv Radiol, 2013, 24: 3- 15.
[3] Galanakis N, Kontopodis N, Peteinarakis I. Direct stenting in patients with acute lower limb arterial occlusions: immediate and long- term results[J]. Cardiovasc Intervent Radiol, 2017, 40: 192- 201.
[4] Leung DA, Blitz LR, Nelson T, et al. Rheolytic pharmacome- chanical thrombectomy for the management of acute limb ischemia: results from the PEARL registry[J]. J Endovasc Ther, 2015, 22: 546- 557.
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[6] 陈国平, 顾建平, 楼文胜, 等. 股深动脉血流重建改善下肢缺血的临床应用[J]. 介入放射学杂志, 2011, 20: 782- 786.
[7] Creager M, Kaufman JA, Conte MS, et al. Clinical practice.Acute limb ischeman[J]. N Engl J Med, 2012, 366: 2198- 2206.
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[10] Spiliopoulos S, Katsanos K, Fragkos G, et al. Treatment of infrainguinal thromboembolic complications during peripheral endovascular procedures with AngioJet rheolytic thrombectomy, intraoperative thrombolysis, and selective stenting[J]. J Vasc Surg, 2012, 56: 1308- 1316.
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[13] 宋进华, 何 旭, 楼文胜, 等. 急性髂股静脉血栓治疗中AngioJet机械性血栓清除装置初步应用结果[J]. 中华放射学杂志, 2015, 49: 758- 762.
[14] 刘 凯, 段鹏飞, 陈 珑, 等. AngioJet血栓清除装置治疗急性下肢深静脉血栓形成初步临床应用[J]. 介入放射学杂志, 2016, 25: 496- 500.
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备注/Memo
- 备注/Memo:
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(收稿日期:2017-01-06)
(本文编辑:边 佶)
更新日期/Last Update:
2017-06-13