Distal embolic filter protection during debulking treatment of peripheral artery disease / 中华普通外科杂志
Chinese Journal of General Surgery
; (12): 675-678, 2022.
Article
in Zh
| WPRIM
| ID: wpr-957828
Responsible library:
WPRO
ABSTRACT
Objective:
To discuss the strategies of distal embolic filter protection(DEFP) during excimer laser ablation (ELA) or percutaneous mechanical thrombectomy (PMT) in treatment of peripheral artery disease.Methods:
Clinical data of 29 patients undergoing ELA or PMT under the DEFP from Oct 2019 to Aug 2021 were retrospectively collected to analyze the strategies of DEFP and high-risk factors of capturing clinically significant macrodebris.Results:
There were 21 males and 8 females, aged (70.3±11.0) years with 32 lesions (29 limbs) including 5 in-stent restenosis (ISR), 10 thrombosis and 17 chronic total occlusion (CTO). The technical success rate of DEFP device release and recovery was 100%. The overall debris capture rate was 77.3% and the macrodebris capture rate was 36.4%. Even with DEFP the distal embolization (DE) incidence was 3.4%. When ELA for CTO with severe calcification or long-segment ISR lesions, the capture rate of macrodebris was as high as 60.0%, and the former was significantly higher than ELA for CTO without high calcification lesions ( P<0.05).Conclusion:
ELA or PMT under the DEFP in treatment of peripheral artery disease appears to be of great significance in preventing DE.
Full text:
1
Database:
WPRIM
Language:
Zh
Journal:
Chinese Journal of General Surgery
Year:
2022
Document type:
Article