INFRAPOPLITEAL ANGIOPLASTY FOR LIMB SALVAGE

被引：34

作者：

BUCKENHAM, TM

LOH, A

DORMANDY, JA

TAYLOR, RS

机构：

[1] Department of Diagnostic Radiology, St George's Hospital, London, SW17 OQT, Blackshaw Road

[2] Department of Vascular Surgery, St George's Hospital, London, SW17 OQT, Blackshaw Road

来源：

EUROPEAN JOURNAL OF VASCULAR SURGERY | 1993年 / 7卷 / 01期

关键词：

INFRAPOPLITEAL ANGIOPLASTY; CRITICAL LIMB ISCHEMIA; LIMB SALVAGE;

D O I：

10.1016/S0950-821X(05)80538-9

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Fourteen infrapopliteal angioplasties were performed in 13 patients with critical limb ischaemia. Clinical indications were rest pain, ulceration, gangrene or a critically ischaemic limb from a graft occlusion secondary to an infrapopliteal lesion. The average ankle-brachial ratio was 0.22 in non-diabetics. Technical success was achieved in all lesions with an average increase of Doppler ratios of 0.5. Of the 13 patients, 11 (85%) showed early clinical improvement (with average length of follow-up of 8 months, range 1-18 months). With the introduction of smaller lower profile catheters, hydrophilic and steerable wires and the advent of digital subtraction angiography, infrapopliteal angioplasty can now be performed successfully and with few complications. The presence of spasm should be aggressively treated with intra-arterial nitroglycerine or verapamil. © 1993 Grune & Stratton Ltd.

引用

页码：21 / 25

页数：5

共 12 条

[1] Freiman, McLean, Oleaga, Et al., Percutaneous transluminal angioplasty, Interventional Radiology: Principles and Techniques, (1981)
[2] Gordon, Ring, Below-Knee Angioplasty, Perspectives in Vascular Surgery and Endovascular Therapy, 2, pp. 67-74, (1989)
[3] Schwarten, Clinical and anatomical considerations for non-operative therapy in tibial disease and the results of angioplasty, Circulation, 83, pp. I86-I90, (1991)
[4] Schwarten, Cutcliff, Arterial occlusive disease below the knee: treatment with percutaneous transluminal angioplasty performed with low-profile catheters and steerable guide wires, Radiology, 169, pp. 71-74, (1988)
[5] Bakal, Sprayregen, Scheinbaum, Et al., Percutaneous transluminal angioplasty of the infrapopliteal arteries, Results in 53 patients, 154, pp. 171-174, (1990)
[6] Roles of P2-purinoceptors in the cardiovascular system [published erratum appears in Circulation 1991 Nov
[7] 84(5):2212], Circulation, 84, pp. 1-26, (1991)
[8] Dripps, Lamont, Eckenhoff, The role of anesthesia in surgical mortality, JAMA, 178, pp. 261-266, (1961)
[9] Page, Buckenham, Taylor, Dormandy, Accelerated thrombolysis facilitated by direct puncture of occluded femoral grafts, Clinical Radiology, 45, (1992)
[10] Veith, Gupta, Ascer, Et al., Six year prospective multi-center randomized comparison of autologous saphenous vein and expanded polytetrafluoroethylene grafts in infrainguinal arterial reconstructions, J Vasc Surg, 3, pp. 104-114, (1986)

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