AngioJet血栓清除术在急性下肢动脉缺血治疗中的应用

发布时间：2018-04-30 15:15

本文选题：AngioJet血栓清除装置 + 经皮机械血栓清除术　；参考：《介入放射学杂志》2017年06期

【摘要】：目的探讨AngioJet血栓清除术在治疗急性下肢动脉缺血(ALI)中的临床应用价值。方法回顾性分析2015年1月至2016年11月经AngioJet血栓清除术治疗的12例ALI患者临床资料,以心肌梗死溶栓(TIMI)治疗后血流分级评估血流灌注情况,Cooley疗效评分标准评价临床疗效。结果AngioJet血栓清除术技术成功率为91.7%(11/12),平均恢复灌注时间为(1.6±0.7)h。临床成功率为83.3%(10/12),保肢率为91.7%(11/12)。TIMI分级由术前0级8例,1级4例,改善为术后即刻0级1例,1级3例,2级8例。11例(91.7%)下肢缺血症状有明显改善,1例(8.3%)术后虽经导管接触溶栓(CDT)治疗24h,但TIMI分级仍0级且肢体缺血症状未改善,予以外科膝上截肢治疗。Cooley疗效评分显示,痊愈4例(33.3%),良好6例(50.0%),一般1例(8.3%),较差1例(8.3%),未发生严重出血并发症。结论AngioJet血栓清除术可快速恢复ALI患者血流灌注,阻止病变进一步恶化,提高保肢率,有较好的临床应用价值。
[Abstract]:Objective to evaluate the clinical value of AngioJet thrombus clearance in the treatment of acute lower extremity arterial ischemia. Methods the clinical data of 12 ALI patients treated with AngioJet thrombus clearance from January 2015 to November 2016 were retrospectively analyzed. Results the success rate of AngioJet thrombectomy was 91.7%, and the average recovery time was 1.6 卤0.7h. The clinical success rate was 83.3% 10 / 12, and the limb salvage rate was 91.7%(11/12).TIMI grade 0 in 8 cases and grade 1 in 4 cases. The improvement was grade 0, grade 1, grade 2, 8 cases. 11 cases (91.7%). The symptoms of lower extremity ischemia were significantly improved in 1 case (8. 3%). Although the patients were treated with catheter contact thrombolytic therapy for 24 h, the TIMI grade was still grade 0 and the symptom of limb ischemia was not improved. Cooley score showed that 4 cases were cured with 33.3%, 6 cases were good, 1 case was 8. 3%, 1 case was poor, and there was no serious bleeding complication. Conclusion AngioJet thrombus clearance can quickly restore the blood flow perfusion of ALI patients, prevent further deterioration of the lesion, and improve the limb salvage rate, which has a good clinical application value.
【作者单位】：南京医科大学附属南京医院(南京市第一医院)介入科;
【基金】：江苏省条件建设与民生科技专项项目(BL2014013)
【分类号】：R543.5

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