导管溶栓技术在治疗下肢动脉缺血性疾病中的应用体会
被引量:3
摘要
各种原因引起的肢体缺血和微循环障碍不仅导致较高的截肢风险,继发的全身代谢紊乱也会因损害重要脏器功能而危及生命。在下肢缺血性疾病病因中血栓扮演着重要角色,外周动脉内血栓形成的防治始终是临床工作中的重点。导管溶栓技术近年普遍用于治疗急慢性肢体动脉缺血性疾病,本文将我院临床应用该种技术的一些体会报告如下。
出处
《中华外科杂志》
CAS
CSCD
北大核心
2011年第9期859-860,共2页
Chinese Journal of Surgery
参考文献8
-
1Nilsson L,Albrechtsson U,Jonung T,et al.Surgical treatment versus thrombolysis in acute arterial occlusion:a randomised controlled study.Eur J Vasc Surg,1992,6:189-193.
-
2Kim C,Jeon W,Shin T,et al.Stent-assisted recanalisation of acute occlusive arteries in patients with acute limb ischaemia.Eur J Vasc Endovasc Surg,2010,39:89-96.
-
3Zeller T,Tepe G.Treatment of acute limb ischemia with focus on endovascular techniques.Vasa,2009,38:123-133.
-
4张福先,张昌明,胡路,冯亚平,梁刚柱,张欢.预置导管溶栓辅助血管成形治疗慢性肢体动脉闭塞性疾病[J].介入放射学杂志,2010,19(9):718-721. 被引量:9
-
5Roy S.Re:augmented experimental pulse-spray thrombolysis with tissue plasminogen activator,enabling dose reduction by one or more orders of magnitude.J Vaac Interv Radiol,2001,12:264-266.
-
6薛冠华,梁卫,黄晓钟,叶猛,王鹏,张岚,张皓,张纪蔚.导管溶栓治疗急性下肢动脉缺血的疗效评价[J].介入放射学杂志,2010,19(9):715-717. 被引量:29
-
7Oguzkurt L,Ozkan U,Gümü s B,et al.Percutaneous aspiration thrombectomy in the treatment of lower extremity thromboembolic occlusions.Diagn Interv Radiol,2010,16:79-83.
-
8Rutherford RB.Clinical staging of acute limb ischemia as the basis for choice of revascularization method:when and how to intervene.Semin Vasc Surg,2009,22:5-9.
二级参考文献22
-
1Zeller T,Tepe,G.Treatment of acute limb ischemia with focus on endovascular techniques[J].Vasa,2009,38:123-133.
-
2Mikita J,Honczai P,Tóth J.Local thrombolysis in the treatment of peripheral arterial vascular diseases[J].Orv Hetil,2007,148:1737-1744.
-
3Alving BM,Francis CW,Hiatt WR,et al.Consultations on patients with venous or arterial diseases[J].Hematology,2003,2:540-543.
-
4Costantini V,Lenti M.Treatment of acute occlusion of peripheral arteries[J].Thromb Res,2002,106:285-294.
-
5Sharamas NW,Dippel EJ,Shanmmas G,et al.Dethrombosis of the lower extremity arteries using the power-pulse spray technique in patients with recent onset thrombotic occlusions:results of the DETHROMBOSIS Registry[J].J Endovasc Ther,2008,15:570-579.
-
6Comerota A,Sidhu R.Can intraoperative thrombolytic therapu assist with the management of acute limb ischemia[J].Semin Vasc Surg,2009,22:47-51.
-
7Entz L,Laczkó A,Biiró G,et al.Arterial thrombolysis in the lower extremity in vascular surgical practice[J].Magy Seb,2007,60:501-505.
-
8Amonkar SJ,Cleanthis M,Nice C,et al.Outcomes of intraarterial thrombolysis for acute limb ischemia[J].Angiology,2008,58:734-742.
-
9Breukink SO,Vrouenraets BC,Davies GA,et al.Thrombolysis as initial treatment of peripheral native artery and bypass graft occlusions in a general community hospital[J].Ann Vasc Surg,2004,18:314-320.
-
10Norgren L,Hiatt WR,Dormandy JA,et al.Inter-society consensus for the management of peripheral arterial disease (TASC Ⅱ)[J].J Vasc Surg,2007,45(Suppl 1):S5-S67.
共引文献35
-
1杜猛,叶炜.血管腔内治疗慢性下肢缺血时的溶栓治疗[J].中国血管外科杂志(电子版),2011,3(3):161-163. 被引量:1
-
2刘洪,栗力,李阳春,王敬强.下肢动脉硬化闭塞症术后再闭塞的治疗[J].中国血管外科杂志(电子版),2014,6(2):79-82. 被引量:4
-
3刘小春,叶波,陈伟清,谢可萍,熊吉信.介入溶栓导管在急性下肢动脉血栓形成中的应用[J].南昌大学学报(医学版),2011,51(9):56-57. 被引量:6
-
4孙敏莉,赵意平,张柏根.下肢动脉缺血性疾病的治疗体会[J].国际外科学杂志,2011,38(12):852-854. 被引量:3
-
5夏彩凤,顾建平,楼文胜,何旭,陈亮,陈国平,苏浩波,宋进华,汪涛.急性下肢动脉栓塞与血栓形成的临床异同分析[J].介入放射学杂志,2012,21(5):369-373. 被引量:12
-
6闫瑞强,何俊峰,李启民.急性下肢动脉血栓栓塞介入综合治疗的分析[J].中外医疗,2012,31(12):122-122. 被引量:2
-
7张昌明,张福先,张欢.经导管溶栓治疗急性下肢缺血疗效分析[J].介入放射学杂志,2012,21(9):780-783. 被引量:6
-
8王变丽,宋小晴,张丽娜.急性动脉栓塞取栓术的手术配合及护理[J].国际护理学杂志,2012,31(9):1637-1638.
-
9黄晓钟,张纪蔚.下肢动脉栓塞的置管溶栓治疗[J].临床外科杂志,2013,21(5):326-328. 被引量:13
-
10金弢,张鸿坤,韩石平.动脉内置管溶栓结合传统手术补救治疗下肢动脉血栓28例疗效分析[J].浙江医学,2013,35(9):781-783. 被引量:1
同被引文献35
-
1郭曙光,方伟,尹存平,张鹏,段丽红,周兴立,陈翠菊.急性下肢缺血的外科手术治疗:附96例报告[J].中国普通外科杂志,2006,15(5):321-323. 被引量:28
-
2周志强,孙培春,吴刚,唐彩霞,鲁玉珍.急性肢体动脉栓塞诊治分析[J].医药论坛杂志,2007,28(18):59-59. 被引量:1
-
3Dormandy JA, Rutherford RB. Management of peripheral arterial disease(PAD). TASC Working Group. TransAtlantic Inter-Society Consensus (TASC)[J]. J Vasc Surg, 2000, 31: S1-S296.
-
4Norgren L, Hiatt WR, Dormandy JA, et al. Inter-Society Consensus for the management of peripheral arterial disease(TASC Ⅱ)[J]. Eur J Vasc Endovasc Surg, 2007, 33 Suppl 1: S1-75.
-
5Bosiers M, Deloose K, Callaert J, et al. BRAVISSIMO study: 12-month results from the TASC A/B subgroup[J]. J Cardiovasc Surg (Torino), 2012, 53: 91-99.
-
6Ratnam L, Raza SA, Horton A, et al. Outcome of aortoiliac, femoropopliteal and infrapopliteal endovascular interventions in lesions categorised by TASC classification[J]. Clin Radiol, 2012, 67: 949-954.
-
7Baril DT, Chaer RA, Rhee RY, et al. Endovascular interventions for TASC II D femoropopliteal lesions[J]. J Vasc Surg, 2010, 51: 1406-1412.
-
8Ye W, Liu CW, Ricco JB, et al. Early and late outcomes of percutaneous treatment of TransAtlantic Inter-Society Consensus class C and D aorto-iliac lesions[J]. J Vasc Surg, 2011, 53: 1728-1737.
-
9Schrijver A, VosJ, Hoksbergen AW, et al. Ultrasound-accelerated thrombolysis for lower extremity ischemia:multicenter experience and literature review[J]. J Cardiovasc Surg(Torino), 2011, 52:467-476.
-
10Ferraresi R, Palena LM, Mauri G, et al. Tips and tricks for a correct “endo approach”[J]. J Cardiovasc Surg (Torino), 2013, 54: 685-711.
引证文献3
-
1周克堂,周志强.Fogarty导管取栓配合留置导管持续给药溶栓在中晚期肢体动脉栓塞中的应用[J].中国社区医师(医学专业),2012,14(22):136-137.
-
2李孝成,潘光栋,肖运平,褚光平,蔡敬铭,刘强,谭盛强,卢欣.导管溶栓治疗急性下肢缺血30例[J].介入放射学杂志,2014,23(3):250-252. 被引量:8
-
3李艳奎,吴义生,张小明.TASC-D型下肢动脉硬化闭塞症腔内治疗现状[J].介入放射学杂志,2015,24(6):544-547. 被引量:13
二级引证文献21
-
1白超,杨琨,王洋,李新喜,田野,罗军.后肢急性缺血大鼠模型的构建及评估[J].中国组织工程研究,2015,19(40):6492-6497. 被引量:2
-
2高原,郭梦娇,高文宏,高顺记,刘政,谢峰.不同声学参数对血栓内微泡介导的超声辅助溶栓效果的影响[J].中国医学影像技术,2015,31(12):1783-1786. 被引量:5
-
3赵国瑞,任建庄,陈鹏飞,张文广,黄郭灏,张萌帆,王朝阳,韩新巍.急性下肢动脉栓塞导管取栓与支架植入临床疗效对比分析[J].介入放射学杂志,2016,25(10):853-857. 被引量:16
-
4刘文景,李军.多层螺旋CT血管造影对下肢动脉硬化闭塞症的诊断价值[J].医学综述,2016,22(20):4155-4157. 被引量:18
-
5黄学卿,王黎洲,周石,李兴,蒋天鹏,宋杰.血管重建治疗血液透析并发下肢动脉硬化闭塞症患者预后分析[J].介入放射学杂志,2017,26(2):118-122. 被引量:8
-
6项以力,张温凯,杨镛.药物涂层球囊和无涂层球囊治疗股腘动脉缺血性疾病疗效及安全性meta分析[J].介入放射学杂志,2017,26(6):500-507. 被引量:10
-
7田磊,刘希光,王中华,谷雨丰,杨晓冬,王世华,张朝军.老年患者TASC C、D级髂股动脉闭塞的腔内治疗[J].中国介入影像与治疗学,2017,14(7):400-403. 被引量:3
-
8王乐,周红艳,孙静岚.介入置管溶栓治疗下肢动脉硬化闭塞症的观察与护理[J].当代护士(下旬刊),2018,25(2):74-76. 被引量:8
-
9黄剑,周大勇,沈利明,金一琦,李江,沈平.二氧化碳造影在下肢动脉腔内治疗中的应用[J].介入放射学杂志,2018,27(3):211-214. 被引量:1
-
10刘玉金,张孝军,宋伟祥,沈旭波,李浏博.尿激酶经导管接触溶栓治疗急性肢体缺血初步临床应用[J].介入放射学杂志,2018,27(3):262-265. 被引量:8
-
1孟昕.肢体麻木小心惹上周围血管病[J].老年健康,2006(5):14-14.
-
2黄平平,韩忠朝,李尚珠,刘春华.灯盏细辛注射液联合肝素治疗下肢动脉缺血性疾病患者64例[J].中国中西医结合杂志,2004,24(11):1016-1017. 被引量:5
-
3沈海刚,王雄.踝肱指数在下肢动脉缺血性疾病诊治中的应用[J].浙江中西医结合杂志,2012,22(6):472-473. 被引量:2
-
4赵念博.溶栓+PTA治疗下肢动脉慢性脑血性疾病[J].中外医用放射技术,2001(8):49-49.
-
5天津:新法治疗脉管炎[J].上海医药,2003,24(9):426-427.
-
6孟晓雪,吕安林.下肢动脉缺血性疾病研究进展[J].心血管康复医学杂志,2008,17(2):191-193. 被引量:6
-
7李万达.下肢缺血性疾病介入治疗的临床效果研究[J].中国现代药物应用,2014,8(14):77-78. 被引量:1
-
8吴庆华,唐小斌,陈忠,寇镭,苑超,杨宝钟.西洛他唑治疗肢体动脉缺血性疾病的临床疗效观察[J].心肺血管病杂志,1997,16(3):211-214. 被引量:3
-
9向玉.糖尿病的防治[J].特别健康(下),2013(12):518-519.
-
10邵金凤,吴淑琼.甲状腺功能减退症患者替代治疗前后血脂、血尿酸变化及临床意义[J].湖北中医学院学报,2010,12(3):58-60. 被引量:15