Abstract:Objective: To observe the clinical effect of Fogarty balloon catheter under DSA in vascular crisis after replantation of limb (finger). Methods: From January 2010 to January 2016, 23 patients underwent a vascular crisis with Fogarty balloon catheter in the DSA, 21 patients survived, and the incision was healed, 1 case of acute heart failure, cardiac medical treatment, recovery is good. 1 case of osteofascial compartment syndrome, to be surgical treatment, recovery is good. 2 cases of postoperative vascular crisis again, line incision exploration, 1 case of successful treatment, 2 cases of arterial occlusion, limb partial necrosis, amputation. Results: Exclude 2 patients with incision exploration, of the 21 patients treated with Fogarty catheter, an average follow-up of 10 months (6 months to 28 months), limb blood supply improved, and arterial pulsation, swelling improved, sensory improvement, activity improve. According to CMA hand surgery branch of the limb replantation function evaluation criteria evaluation of the efficacy of this group of excellent 12 cases, good in 6 cases, poor in 3 cases, excellent rate of 85.7%. Conclusion: Fogarty balloon catheter was used in DSA to determine the vascular crisis after the replantation of the limb (finger), and the clinical curative effect was determined.
李小东, 严晓薇, 刘士波, 王培. DSA下Fogarty球囊导管在断肢(指)再植术后血管危象中应用的临床研究[J]. 河北医学, 2017, 23(9): 1412-1414.
LI Xiaodong, YAN Xiaowei, LIU Shibo, et al. Clinical Study of Fogarty Balloon Catheter Under DSA in Vascular Crisis after Replantation of Limb (finger). 河北医学, 2017, 23(9): 1412-1414.