目的

应用介入技术，改进传统的下肢动脉取栓手术，降低手术后的再栓塞率、截肢率、死亡率。

方法

2004年9月至2008年12月，我科应用术中造影、导丝引导下置管、监视下拖栓、经皮血管腔内血管成形术（PTA）、支架植入等介入技术结合动脉取栓手术治疗急性下肢动脉阻塞24例，涉及24条下肢动脉。

结果

全组病例手术后再栓塞3例，无截肢，无死亡。

结论

取栓手术中应用介入技术后，明显降低术后再栓塞率，截肢率，死亡率。

Objective

Combining the endovascular technique and traditional surgical thrombectomy to improve the outcome of the acute ischemia of lower limbs.

Methods

From Sep.2004 to Dec.2008,24 cases of acute ischemia of lower extremities were treated by combination of endovascular intervention and traditional surgical thrombectomy.In some cases,thrombectomy was followed by PTA or stent implantation.

Results

Emboli in the artery of lower limbs was successfully removed in all cases.Re-obstruction of the arteries was identified in 3 cases.Toe amputation was performed in one case while no major amputation was performed and all patients were alive during the perioperative period.

Conclusion

The combination of endovascular technique and traditional surgicalthrombectomy can improve the outcome of the acute ischemia of lower limbs.