CAJ | 학술논문

目的：探讨 Fogarty 球囊导管在急性肢体动脉栓塞中的使用技巧及临床疗效。方法回顾性分析经 Fogarty 球囊导管取栓治疗的8例急性肢体动脉栓塞患者,分析治疗方法、疗效、并发症、预后及6~24个月随访结果,评价 Fogarty 球囊导管的安全性、有效性及操作技巧。结果7例治愈,1例有效,血管内膜损伤1例,血管痉挛1例。术后6~12个月随访,6例肢体活动正常,1例1年后脑梗死致左侧肢体偏瘫,1例6个月后因呼吸功能衰竭死亡。结论在急性肢体动脉栓塞中使用 Fogarty 球囊导管取栓治疗安全有效。
목적：탐토 Fogarty 구낭도관재급성지체동맥전새중적사용기교급림상료효。방법회고성분석경 Fogarty 구낭도관취전치료적8례급성지체동맥전새환자,분석치료방법、료효、병발증、예후급6~24개월수방결과,평개 Fogarty 구낭도관적안전성、유효성급조작기교。결과7례치유,1례유효,혈관내막손상1례,혈관경련1례。술후6~12개월수방,6례지체활동정상,1례1년후뇌경사치좌측지체편탄,1례6개월후인호흡공능쇠갈사망。결론재급성지체동맥전새중사용 Fogarty 구낭도관취전치료안전유효。
Objective To explore the technique and clinical effect of Fogarty catheter in treatment of acute limb arterial embol-ism.Methods Eight cases of acute limb arterial embolism treated by Fogarty catheter were analyzed retrospectively.The technique of thrombectomy,curative effect,complications,prognosis,and 6-24 months follow-up results were assessed to evaluate the safe-ty,effectiveness and operative skills.Results Seven cases were cured,and 1 case was efficacious.The endangium injury and vaso-spasm was occurred in 1 case,respectively.During follow-up from 6 to 24 months,6 cases recovered activity,1 case was hemiplegia because of cerebral infarction after 12 months,and 1 case died of respiratory function failure after 6 months.Conclusion Fogarty catheter is safe and effective in treatment of acute limb arterial embolism.