摘要
血管外科疾病腔内治疗经过20年蓬勃发展,已经涵盖主动脉夹层、腹主动脉瘤、下肢动脉狭窄闭塞、颈动脉狭窄、深静脉血栓形成等大部分血管疾病的治疗。目前,累及主动脉弓以远的主动脉夹层和肾下型腹主动脉瘤均首选腔内治疗;采用开窗技术、烟囱技术、分支支架等分支动脉重建技术治疗累及重要分支动脉的主动脉病变进展迅速;在采用普通球囊、切割球囊、斑块切除等技术获得通畅血管的基础上,使用药物涂层球囊,必要时结合支架技术治疗慢性下肢动脉缺血性疾病已成为共识;下肢静脉腔内溶栓、下腔静脉滤器、静脉支架植入等腔内技术在下肢深静脉血栓的治疗领域发展迅速。
With the rapid development of endovascular technique in the previous 20 years, most vascular diseases,including aortic dissection, abdominal aortic aneurysm,arteriosclerosis obliterans, carotid artery stenosis and deep venous thrombosis, can be treated with advanced endovascular technique effectively nowadays. Endovascular aortic repair(EVAR) is booming and the first choice for most aortic aneurysm and dissection involving descending aorta and aortic arch. Revascularization techniques, such as chimney technique, fenestration technique and branched stent-graft,are crucial when vital branch is invaded. For chronic limb ischemia, revascularization could be achieved with plenty of techniques, such as cutting balloon and atherectomy, drugeluted balloon should be used after revascularization and stents should be used prudently to prevent arterial dissection and retraction. With the development of endovascular thrombolysis and venous stent, many patients with deep venous thrombosis could be treated effectively now.
出处
《中国实用外科杂志》
CSCD
北大核心
2017年第12期1331-1334,共4页
Chinese Journal of Practical Surgery
关键词
血管外科
腔内治疗
主动脉夹层
腹主动脉瘤
下肢动脉狭窄闭塞
颈动脉狭窄
深静脉血栓形成
药物涂层球囊
血管支架
vascular surgery
endovascular repair
aortic dissection
abdominal aortic aneurysm
arteriosclerosis obliterans of lower extremity
carotid artery stenosis
deep venous thrombosis
drug-eluted balloon
vascular stent
