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Arterial thrombosis below the inguinal ligament: percutaneous treatment with a thrombosuction catheter.

机译:腹股沟韧带以下的动脉血栓形成:用血栓抽吸导管经皮治疗。

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摘要

PURPOSE: To assess the safety and clinical efficacy of using a thrombosuction catheter for treatment of arterial thrombosis below the inguinal ligament. MATERIALS AND METHODS: The catheter was used in a consecutive group of 28 patients (10 women, 18 men; age range, 38-87 years; mean age, 66.7 years; with 11 native vessels and 17 grafts) with acute infrainguinal thrombosis. Initial local success, clinical success, and 30-day outcome were studied. RESULTS: The initial local success rate was 82%. The clinical success rate was 73% for native vessels and 53% for grafts. The 30-day success rate was 73% for native vessels and 35% for grafts. Displacement of thrombotic material during the procedure resulted in a clinical complication in one patient. There were no bleeding complications. In 58% of all patients (n = 26), no lytic drug was used. CONCLUSION: The thrombosuction catheter seems to be a safe, fast-acting alternative or supplement to local lysis therapy for infrainguinal arterial thrombosis.
机译:目的:评估使用腹股沟韧带以下的血栓抽吸导管治疗动脉血栓形成的安全性和临床疗效。材料与方法:该导管连续用于28例急性下尿道血栓形成的患者(10名女性,18名男性;年龄范围38-87岁;平均年龄:66.7岁;有11根天然血管和17枚移植物)。研究了最初的局部成功,临床成功和30天结果。结果:最初的本地成功率为82%。天然血管的临床成功率为73%,移植物的临床成功率为53%。原生血管的30天成功率为73%,移植物为35%。手术过程中血栓物质的移位导致一名患者发生临床并发症。没有出血并发症。在所有患者的58%(n = 26)中,未使用任何溶解性药物。结论:血栓抽吸导管似乎是一种安全的,速效的替代方法或补充方法,可用于局部溶解疗法以治疗下道静脉血栓。

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