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Observation of the effect of angiojet to treat acute lower extremity arterial embolization
BACKGROUND: Through significant advances in the treatment of peripheral arterial occlusive disease, acute ischemia of the lower extremity is still associated with significant morbidity, limb threat and mortality. The two main causes of acute ischemia in lower extremities are arterial embolism and at...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Baishideng Publishing Group Inc
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10294201/ https://www.ncbi.nlm.nih.gov/pubmed/37383913 http://dx.doi.org/10.12998/wjcc.v11.i15.3491 |
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author | Meng, Xiao-Hu Xie, Xu-Pin Liu, Yong-Chang Huang, Chang-Pin Wang, Lin-Jun Liu, Han-Yi Fang, Xin Zhang, Guo-Hui |
author_facet | Meng, Xiao-Hu Xie, Xu-Pin Liu, Yong-Chang Huang, Chang-Pin Wang, Lin-Jun Liu, Han-Yi Fang, Xin Zhang, Guo-Hui |
author_sort | Meng, Xiao-Hu |
collection | PubMed |
description | BACKGROUND: Through significant advances in the treatment of peripheral arterial occlusive disease, acute ischemia of the lower extremity is still associated with significant morbidity, limb threat and mortality. The two main causes of acute ischemia in lower extremities are arterial embolism and atherosclerotic arteries. Timely recognition and treatment of acute limb ischemia in emergency situations is essential in order to minimize the duration of ischemia. AIM: To investigate the application effect of angiojet thrombolysis in the treatment of acute lower extremity arterial embolization. METHODS: Sixty-two patients with acute lower extremity arterial embolization admitted to our hospital from May 2018 to May 2020 were selected. Among them, the observation group (twenty-eight cases) had received angiojet thrombolysis, and the control group (thirty-four cases) had received femoral artery incision and thrombectomy. After thrombus clearance, significant residual stenosis of the lumen was combined with balloon dilation and/or stent implantation. When the thrombus removal was not satisfactory, catheter-directed thrombolysis was performed. The incidence of postoperative complications, recurrence rate and recovery of the two groups were compared. RESULTS: There were no significant differences in postoperative recurrence (target vessel reconstruction rate), anklebrachial index and the incidence of postoperative complications between the two groups (P > 0.05); there were statistically significant differences in postoperative pain score and postoperative rehabilitation between the two groups (P < 0.05). CONCLUSION: The application of angiojet in the treatment of acute lower limb artery thromboembolism disease is safe and effective, minimally invasive, quicker recovery after operation, less postoperative complications, which is more suitable for the treatment of femoral popliteal arterial thromboembolism lesions. If the thrombus removal is not satisfactory, the combination of coronary artery aspiration catheter and catheterized directed thrombolysis can be used. Balloon dilation and stent implantation can be considered for obvious lumen stenosis. |
format | Online Article Text |
id | pubmed-10294201 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Baishideng Publishing Group Inc |
record_format | MEDLINE/PubMed |
spelling | pubmed-102942012023-06-28 Observation of the effect of angiojet to treat acute lower extremity arterial embolization Meng, Xiao-Hu Xie, Xu-Pin Liu, Yong-Chang Huang, Chang-Pin Wang, Lin-Jun Liu, Han-Yi Fang, Xin Zhang, Guo-Hui World J Clin Cases Observational Study BACKGROUND: Through significant advances in the treatment of peripheral arterial occlusive disease, acute ischemia of the lower extremity is still associated with significant morbidity, limb threat and mortality. The two main causes of acute ischemia in lower extremities are arterial embolism and atherosclerotic arteries. Timely recognition and treatment of acute limb ischemia in emergency situations is essential in order to minimize the duration of ischemia. AIM: To investigate the application effect of angiojet thrombolysis in the treatment of acute lower extremity arterial embolization. METHODS: Sixty-two patients with acute lower extremity arterial embolization admitted to our hospital from May 2018 to May 2020 were selected. Among them, the observation group (twenty-eight cases) had received angiojet thrombolysis, and the control group (thirty-four cases) had received femoral artery incision and thrombectomy. After thrombus clearance, significant residual stenosis of the lumen was combined with balloon dilation and/or stent implantation. When the thrombus removal was not satisfactory, catheter-directed thrombolysis was performed. The incidence of postoperative complications, recurrence rate and recovery of the two groups were compared. RESULTS: There were no significant differences in postoperative recurrence (target vessel reconstruction rate), anklebrachial index and the incidence of postoperative complications between the two groups (P > 0.05); there were statistically significant differences in postoperative pain score and postoperative rehabilitation between the two groups (P < 0.05). CONCLUSION: The application of angiojet in the treatment of acute lower limb artery thromboembolism disease is safe and effective, minimally invasive, quicker recovery after operation, less postoperative complications, which is more suitable for the treatment of femoral popliteal arterial thromboembolism lesions. If the thrombus removal is not satisfactory, the combination of coronary artery aspiration catheter and catheterized directed thrombolysis can be used. Balloon dilation and stent implantation can be considered for obvious lumen stenosis. Baishideng Publishing Group Inc 2023-05-26 2023-05-26 /pmc/articles/PMC10294201/ /pubmed/37383913 http://dx.doi.org/10.12998/wjcc.v11.i15.3491 Text en ©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved. https://creativecommons.org/licenses/by-nc/4.0/This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/ |
spellingShingle | Observational Study Meng, Xiao-Hu Xie, Xu-Pin Liu, Yong-Chang Huang, Chang-Pin Wang, Lin-Jun Liu, Han-Yi Fang, Xin Zhang, Guo-Hui Observation of the effect of angiojet to treat acute lower extremity arterial embolization |
title | Observation of the effect of angiojet to treat acute lower extremity arterial embolization |
title_full | Observation of the effect of angiojet to treat acute lower extremity arterial embolization |
title_fullStr | Observation of the effect of angiojet to treat acute lower extremity arterial embolization |
title_full_unstemmed | Observation of the effect of angiojet to treat acute lower extremity arterial embolization |
title_short | Observation of the effect of angiojet to treat acute lower extremity arterial embolization |
title_sort | observation of the effect of angiojet to treat acute lower extremity arterial embolization |
topic | Observational Study |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10294201/ https://www.ncbi.nlm.nih.gov/pubmed/37383913 http://dx.doi.org/10.12998/wjcc.v11.i15.3491 |
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