Simpson's atherectomy in embolizing leg artery stenoses

We report on the treatment and follow-up of six patients with an unilateral "blue toe" syndrome. This is caused by atheromatous micro-embolisation to the digital arteries and requires urgent attention due to the painful cutaneous necroses and impending digital gangrene. In all patients, Si...

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Veröffentlicht in:RöFo : Fortschritte auf dem Gebiet der Röntgenstrahlen und der bildgebende Verfahren 1991-09, Vol.155 (3), p.235-241
Hauptverfasser: Küffer, G, Hansen, R, Spengel, F A, Steckmeier, B, Nathrath, W
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container_title RöFo : Fortschritte auf dem Gebiet der Röntgenstrahlen und der bildgebende Verfahren
container_volume 155
creator Küffer, G
Hansen, R
Spengel, F A
Steckmeier, B
Nathrath, W
description We report on the treatment and follow-up of six patients with an unilateral "blue toe" syndrome. This is caused by atheromatous micro-embolisation to the digital arteries and requires urgent attention due to the painful cutaneous necroses and impending digital gangrene. In all patients, Simpson's atherectomy of proximally situated femoropopliteal stenoses caused the pre-gangrenous digital changes to heal completely. In a mean observation period of ten months no relapse occurred. The embolising material was presumably parietal fibrino-platelet thrombi which could be observed with angioscopy and were regularly detectable histologically in the excised tissue.
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identifier ISSN: 1438-9029
ispartof RöFo : Fortschritte auf dem Gebiet der Röntgenstrahlen und der bildgebende Verfahren, 1991-09, Vol.155 (3), p.235-241
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source MEDLINE; Thieme Connect Journals
subjects Aged
Angioplasty, Balloon - methods
Arteriosclerosis - complications
Arteriosclerosis - diagnostic imaging
Arteriosclerosis - therapy
Embolism - diagnostic imaging
Embolism - etiology
Embolism - therapy
Femoral Artery - diagnostic imaging
Humans
Intermittent Claudication - diagnostic imaging
Intermittent Claudication - etiology
Intermittent Claudication - therapy
Ischemia - diagnostic imaging
Ischemia - etiology
Ischemia - therapy
Male
Middle Aged
Popliteal Artery - diagnostic imaging
Radiography
Toes - blood supply
title Simpson's atherectomy in embolizing leg artery stenoses
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