Meng XH, Xie XP, Liu YC, Huang CP, Wang LJ, Liu HY, Fang X, Zhang GH. Observation of the effect of angiojet to treat acute lower extremity arterial embolization. World J Clin Cases 2023; 11(15): 3491-3501 [PMID: 37383913 DOI: 10.12998/wjcc.v11.i15.3491]
Corresponding Author of This Article
Guo-Hui Zhang, MBChB, Nurse, Department of General Surgery, The Affiliated Hangzhou First People's Hospital, Zhejiang University School of Medicine, No. 469 Shenban Road, Hangzhou 310022, Zhejiang Province, China. 1018885878@qq.com
Research Domain of This Article
Surgery
Article-Type of This Article
Observational Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Xiao-Hu Meng, Xu-Pin Xie, Yong-Chang Liu, Lin-Jun Wang, Han-Yi Liu, Department of Vascular Surgery, The Affiliated Hangzhou First People's Hospital, Zhejiang University School of Medicine, Hangzhou 310006, Zhejiang Province, China
Chang-Pin Huang, Guo-Hui Zhang, Department of General Surgery, The Affiliated Hangzhou First People's Hospital, Zhejiang University School of Medicine, Hangzhou 310022, Zhejiang Province, China
Xin Fang, Department of Vascular Surgery, The Affiliated Hangzhou Cancer Hospital, Zhejiang University School of Medicine, Hangzhou 310006, Zhejiang Province, China
Author contributions: Meng XH contributed to the study conception and writing; Meng XH and Zhang GH contributed to the data collection and investigation; Meng XH and Xie XP contributed to the analysis; all authors contributed to the critical review and revision, final approval of the article and accountability for all aspects of the work.
Supported byHangzhou Medical Health Science and Technology Project, No. 20220919Y001; and No. 20220919Y004.
Institutional review board statement: The study was reviewed and approved by the Hangzhou First People's Hospital Institutional Review Board (Approval No.ⅡT-20221218-0201-01).
Informed consent statement: All study participants, or their legal guardian, provided informed written consent prior to study enrollment.
Conflict-of-interest statement: All authors have no conflict of interest.
Data sharing statement: No additional data are available.
STROBE statement: The authors have read the STROBE Statement—checklist of items, and the manuscript was prepared and revised according to the STROBE Statement—checklist of items.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Guo-Hui Zhang, MBChB, Nurse, Department of General Surgery, The Affiliated Hangzhou First People's Hospital, Zhejiang University School of Medicine, No. 469 Shenban Road, Hangzhou 310022, Zhejiang Province, China. 1018885878@qq.com
Received: January 25, 2023 Peer-review started: January 25, 2023 First decision: March 14, 2023 Revised: March 25, 2023 Accepted: April 13, 2023 Article in press: April 13, 2023 Published online: May 26, 2023 Processing time: 120 Days and 13 Hours
ARTICLE HIGHLIGHTS
Research background
Acute lower extremity arterial embolism is a clinical emergency, if not treated in time, easy to lead to limb ischemia necrosis, eventually amputation, serious damage to the physical and mental health of the patient.
Research motivation
In the past, the effect of conventional drug thrombolytic therapy was slow and limited, and the optimal treatment time was easily delayed. Timely treatment of acute limb ischemia is essential to minimize the duration of ischemia.
Research objectives
To investigate the effect of angiojet in acute lower extremity arterial embolization.
Research methods
Through the collection and analysis of patients with acute lower limb artery embolization admitted to our hospital from May 2018 to May 2020, the postoperative complication rate, recurrence rate and recovery of the two groups of patients who underwent vascular injection thrombolysis and femoral artery incision thrombolysis were compared.
Research results
There were no significant differences in postoperative recurrence, anklebrachial index and the incidence of postoperative complications between the two groups; there were statistically significant differences in postoperative pain score and postoperative rehabilitation between the two groups.
Research conclusions
It is safe and effective that the application of angiojet in the treatment of acute lower extremity arterial thromboembolism.
Research perspectives
Prospective studies should be conducted to expand the sample size and extend follow-up time to assess related risk factors and summarize more clinical experience, so as to accumulate experience, improve techniques and better grasp indications.
