Endovascular interventions in iliac and infrainguinal occlusive artery disease.

Endovascular interventions in iliac and infrainguinal occlusive artery disease.
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髂动脉和腹股沟下闭塞性动脉疾病的血管内干预。

DOI:
10.1111/j.1540-8183.2004.04086.x
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发表时间:
2004
影响因子:
2.1
通讯作者:
J. Haase
J. Haase
中科院分区:
医学4区
文献类型:
--
作者:
J. Ruef;M. Hofmann;J. Haase

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Percutaneous endovascular procedures are increasingly applied to treat symptomatic peripheral occlusive artery disease. While the primary technical success and recanalization rates in iliac and infrainguinal interventions are high, differences in the long-term patency rates exist with respect to the anatomic localization, separating the iliac, femoropopliteal, and infrapopliteal arterial regions. In iliac arteries, even complex lesions can be recanalized with good long-term patency rates, especially when using self-expanding nitinol stents. In the infrainguinal arteries the method of choice is still under debate (e.g., balloon angioplasty vs stent implantation). A high restenosis rate represents one of the major limitations in femoropopliteal and infrapopliteal interventions. Therefore, additional methods and treatment strategies for peripheral interventions with the potential for future applications are under investigation and will be discussed such as drug-eluting stents, brachytherapy, subintimal angioplasty, laser angioplasty, atherectomy/thrombectomy, cutting balloon, polytetrafluoroethylene (PTFE)-covered stent grafts, biodegradable stents, and cryoplasty. The increasing amount of data on successful peripheral interventions supports the necessity to adapt and reevaluate the current consensus guidelines that were put together in 2000.
DOI: 10.1161/01.atv.19.3.538
发表时间: 1999-03-01
影响因子: 8.7
作者:
Newman, AB;Shemanski, L;Siscovick, D
通讯作者: Siscovick, D