Combination of interventional therapy and surgery in the treatment of acute lower limb ischemic disease
ZHANG Zhi-xuan, LI Xiao-qiang, DUAN Peng-fei, QIAN Ai-min, MENG Qing-you, SANG Hong-fei, ZHU Li-wei, RONG Jian-jie
Published 2012-01-25
Cite as Chin J Gen Surg, 2012,27(01): 25-27. DOI: 10.3760/cma.j.issn.1007-631x.2012.01.010
Abstract
Objective To evaluate a combination of interventional treatment and surgical exploration for acute lower limb ischemic disease.Methods We reviewed 42 cases admitted from July 2007 to January 2010,all patients complained pain,paralysis,pulselessness,pallor and paresthesia.After Fogarty thrombectomy angiography was taken in DSA room.Patients with angiostenosis greater than 50% were then managed by interventional treatment(CDT,PTA,Stenting).Results Lives were saved in all patients,40 lower limbs were saved,and 2 patients received below knee amputation.The amputation rate was 4.76%.Dorsal or(and)posterior tibial artery of foot was felt in 33 patients,symptoms significantly improved.The other 7 patients still had painful and paralysis on the diseased limb.Conclusions The interventional treatment and surgical operation in acute lower limb ischemic disease is safe and result is satisfactory,which can improve the long-term patency and salvage rate of the lower limb.
Key words:
Arterial occlusive diseases; Angioplasty; Blood vessel prosthesis
Contributor Information
ZHANG Zhi-xuan
Department of Vascular Surgery, the Second Affiliated Hospital, Soochow University ,Suzhou 215000,China
LI Xiao-qiang
Department of Vascular Surgery, the Second Affiliated Hospital, Soochow University ,Suzhou 215000,China
DUAN Peng-fei
Department of Vascular Surgery, the Second Affiliated Hospital, Soochow University ,Suzhou 215000,China
QIAN Ai-min
Department of Vascular Surgery, the Second Affiliated Hospital, Soochow University ,Suzhou 215000,China
MENG Qing-you
Department of Vascular Surgery, the Second Affiliated Hospital, Soochow University ,Suzhou 215000,China
SANG Hong-fei
Department of Vascular Surgery, the Second Affiliated Hospital, Soochow University ,Suzhou 215000,China
ZHU Li-wei
Department of Vascular Surgery, the Second Affiliated Hospital, Soochow University ,Suzhou 215000,China
RONG Jian-jie
Department of Vascular Surgery, the Second Affiliated Hospital, Soochow University ,Suzhou 215000,China