逆行血管内介入治疗慢性肢体缺血：病例报告

Q4 Medicine

Radiology Case Reports Pub Date : 2024-11-27 DOI:10.1016/j.radcr.2024.10.141

Tran Minh Bao Luan , Nguyen Huu Tuong , Tran Quoc Han

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引用次数: 0

摘要

逆行入路是血管内介入治疗的辅助技术，尤其适用于治疗多层次血管病变的下肢动脉疾病。结合血管重建疗法，伤口护理在慢性肢体缺血患者的治疗中发挥着关键作用。我们介绍了一例慢性肢体缺血病例，患者患有复杂的多层次血管病变，在积极进行伤口护理的同时，我们采用逆行血管内介入疗法成功治疗了患者。干预后，患者的踝肱指数从 0 显著升至 1，伤口愈合加快，肢体功能得以保留。该病例突出了逆行方法在恢复灌注方面的疗效，尤其是在慢性全闭塞的情况下，并强调了将血管重建和伤口护理相结合以优化慢性肢体缺血管理的重要性。

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Retrograde endovascular intervention treating chronic limb threatening ischemia: A case report

The retrograde approach is an adjunctive technique for endovascular intervention, particularly in the treatment of lower extremity arterial disease with multilevel vascular lesions. Combined with revascularization therapy, wound care plays a pivotal role in the management of patients with chronic limb-threatening ischemia. We present a case of chronic limb-threatening ischemia, with complex multilevel vascular lesions successfully treated using a retrograde endovascular approach alongside aggressive wound care management. Postintervention, the patient demonstrated a notable increase in ankle-brachial index from 0 to 1, along with accelerated wound healing and preservation of limb function. This case highlights the efficacy of the retrograde approach in restoring perfusion, particularly in chronic total occlusions, and emphasizes the importance of combining revascularization and wound care for optimal chronic limb-threatening ischemia management.

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来源期刊

Radiology Case Reports Medicine-Radiology, Nuclear Medicine and Imaging

CiteScore

1.10

自引率

0.00%

发文量

1074

审稿时长

30 days

期刊介绍： The content of this journal is exclusively case reports that feature diagnostic imaging. Categories in which case reports can be placed include the musculoskeletal system, spine, central nervous system, head and neck, cardiovascular, chest, gastrointestinal, genitourinary, multisystem, pediatric, emergency, women''s imaging, oncologic, normal variants, medical devices, foreign bodies, interventional radiology, nuclear medicine, molecular imaging, ultrasonography, imaging artifacts, forensic, anthropological, and medical-legal. Articles must be well-documented and include a review of the appropriate literature.