A Simple Reproducible Method to Treat Acute or Subacute Arterial Obstruction When the Thrombus Is Adherent to the Arterial Wall.

Autor:	Nagato H; Department of Cardiovascular Surgery, Kinki University Nara Hospital, Ikoma, Nara, Japan., Toma M; Department of Cardiology, Hyogo Prefectural Amagasaki General Medical Center, Amagasaki, Hyogo, Japan., Yoshizawa K; Department of Cardiovascular Surgery, Hyogo Prefectural Amagasaki General Medical Center, Amagasaki, Hyogo, Japan., Ohno N; Department of Cardiovascular Surgery, Hyogo Prefectural Amagasaki General Medical Center, Amagasaki, Hyogo, Japan., Yoshikawa E; Department of Cardiovascular Surgery, Japanese Red Cross Osaka Hospital, Osaka, Japan.
Jazyk:	angličtina
Zdroj:	Annals of vascular diseases [Ann Vasc Dis] 2017 Dec 25; Vol. 10 (4), pp. 434-437.
DOI:	10.3400/avd.cr.17-00058
Abstrakt:	We report three consecutive patients with limb ischemia, where symptoms appeared several days to weeks prior to presentation. In all cases, initial over-the-wire thrombectomy failed due to adherence of the thrombus to the arterial wall. We adopted a new approach of stretching the whole obstructed segment by a series of ballooning using a percutaneous transluminal angioplasty (PTA) catheter. A subsequent thrombectomy was successful in all three cases. No further intervention, such as stenting or bypass surgery, was required. The adhering thrombus was dissected by stretching the arterial wall at the site of obstruction.
Databáze:	MEDLINE
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