|
|
Clinical Study of Fogarty Balloon Catheter Under DSA in Vascular Crisis after Replantation of Limb (finger) |
LI Xiaodong, YAN Xiaowei, LIU Shibo, et al |
The Affiliated Hospital of Chengde Medical College, Hebei Chengde 067000, China |
|
|
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.
|
|
|
|
|
[1] 程国良.手指再植与再造[M].第2版.北京:人民卫生出版社,2005.119~122.
[2] 周彬.断指再植术后血管危象的相关分析及对策[J].临床和检验医学杂志,2010,13(9):999~1000.
[3] 潘生德,顾玉东,侍德.中华医学会手外科学会肢体部分功能评定试用标准[J].中华手外科杂志,2000,16(3):130~135.
[4] 顾玉东.展望21世纪的手科学[J].中华手外科杂志,1999,15(4):193.
[5] 侯春林.我国对世界显微外科发展的贡献[J].中华显微外科杂志,2007,30,(4):246~249.
[6] Wani ML,Ahangar AG,Wani SN,et a1.Peripheral vascular injuries due to blunt trauma(road traffic accident):management and outcome[J].Int Surg,2012,10(9):560~562.
[7] 李劲松,刘志旺,刘会仁,等.小剂量冬眠合剂预防和治疗手指再植及游离移植术后血管危象16例分析[J].创伤外科杂志,2010,12(5):463.
[8] 蔡文.活血化瘀法在显微手外科术后血管危象防治中的应用[J].中国医药指南,2011,9(17):297~298.
[9] 芮永军,寿奎水,张全荣,等.组合组织移植的血管处理[J].中华手外科杂志,2003,19(3):162~165.
[10] De DG, Setacci F, Sirignano P, et al. The combination of surgical embolectomy and endovascular techniques May improve outcomes of patients with acute lower limb ischemia[J]. Vascular Surg,2014,59 (30):729~736.
[11] 贺亚龙,高 焱.DSA在急性缺血性脑血管病介入治疗中的应用价值研究[J].河北医学,2016,22(8):1260~1262.
[12] Desancho M T,Bardarova S,Chapin J. Adherence to guidelines for perioperative management of anticoagulation results in decreased bleeding complications:a single-centre experience[J]. Blood Coagul Fibrinolysis,2015,26(4):426~429.
[13] 刘晓明,向明,车正兰,等,彩色多普勒超声评价自体动静脉内瘘急性血栓形成中用Fogarty球囊导管取栓的临床应用[J].临床超声医学杂志,2016,18(7):488~490.
[14] 冯友贤.血管外科学[M].第2版.上海:上海科学技术出版社,1992.399~414.
[15] 陈喆,胡海地,常青,等.急性上肢动脉栓塞的外科治疗[J].中华普通外科杂志,2008,23(11):869~871.
[16] 吴云,梅志军.数字减影血管造影下手术取栓联台持续灌注治疗中期下肢动脉血栓46例报告[J].武汉大学学报(医学版),2007,28(6):806~809.
[17] Carlson GA,Hoballa JJ,Sharp WJ.Surgical thrombectomy:current role in thromboembolic occlusion[J].Tech Vasc Inerv Radiol,2003,6(1):14~21. |
|
|
|