置管溶栓在下肢动脉支架内血栓形成治疗中的应用

发布时间：2018-07-05 01:38

本文选题：置管溶栓 + 支架植入　；参考：《重庆医科大学》2017年硕士论文

【摘要】：目的探讨置管溶栓在下肢动脉支架内血栓形成(stent thrombosis,ST)治疗中的有效性和安全性。方法回顾性分析2010年1月至2015年12月于重庆医科大学附属第一医院血管外科诊断下肢动脉ST,并应用留置侧孔溶栓导管行溶栓治疗14例患者的临床资料。评价采用置管溶栓方法在下肢动脉ST患者中的疗效及其相关并发症。结果所有患者技术操作均取得成功,11例血栓溶解成功,再通率为78.57%,1例溶栓治疗中缺血症状加重改行Fogarty导管取栓术后再通,2例患者溶栓过程中缺血症状持续加重最终截肢。有1例患者发生穿刺点渗血,1例出现穿刺点血肿。平均随访10个月,患肢动脉无再狭窄发生。结论置管溶栓是下肢动脉ST的一种创伤小、并发症发生率低、血栓溶解血管再通率高的治疗方法。
[Abstract]:Objective to evaluate the efficacy and safety of catheter thrombolysis in the treatment of stent thromboplasty St. Methods from January 2010 to December 2015, STs of lower extremity artery were diagnosed in the first affiliated Hospital of Chongqing Medical University, and the clinical data of 14 patients with thrombolytic therapy by indwelling lateral foramen thrombolytic catheter were analyzed retrospectively. To evaluate the efficacy and related complications of thrombolytic therapy in St patients of lower extremity artery. Results 11 cases of thrombolysis were successfully performed in all patients, and the recanalization rate was 78.57%. During thrombolytic therapy, the ischemic symptoms were aggravated and changed to recanalization after thrombolysis with Fogarty catheter in 2 cases. One patient had hematoma at puncture point. No restenosis occurred in the affected limb artery after an average follow-up of 10 months. Conclusion Thrombolytic thrombolytic therapy for St of lower extremity is a method with less trauma, lower incidence of complications and higher recanalization rate of thrombolytic vessels.
【学位授予单位】：重庆医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R654.4

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