摘要
随着血管腔内治疗技术的发展及腔内器械的改进，目前血管腔内治疗已成为治疗下肢动脉硬化闭塞症的主要方式。目前，多项指南建议对下肢动脉硬化闭塞症首选腔内治疗。近年来，血管腔内治疗的器材不断更新，药物涂层支架及药物洗脱球囊陆续问世，动脉硬化闭塞症的治疗效果不断提高。但是，动脉硬化闭塞症血管腔内治疗的远期效果仍不理想，国内许多中心在采用血管腔内技术治疗动脉硬化闭塞症时存在诸多不规范的现象。在此，将结合现有的循证医学依据及临床经验探讨下肢动脉硬化闭塞症的血管腔内治疗。
Endovascular therapy has become the first-line strategy for most peripheral artery disease cases. Currently, many guidelines recommend endovascular therapy as the first choice for arteriosclerosis obliterans. Recently, drug-eluting stent and drug-coated balloon are available. The clinical outcomes have been greatly improved with the evolution of devices. However, the long-term outcomes of endovascular therapy for arteriosclerosis obliterans are still not satisfied. Many centers treat arteriosclerosis obliterans using endovascular therapy in appropriately. In this editorial, an evidence-based approach and some strategies will be discussed to standardize the endovascular treatment and improve the result of endovascular therapy for arteriosclerosis obliterans.
出处
《中华外科杂志》
CAS
CSCD
北大核心
2016年第8期564-567,共4页
Chinese Journal of Surgery
关键词
动脉硬化
闭塞性
动脉
下肢
Arteriosclerosis obliterans
Arteries
Lower extremity
