Overview of new technologies for lower extremity revascularization
Overview of new technologies for lower extremity revascularization
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DOI：
10.1161/circulationaha.107.715433
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发表时间：
2007-10-30
期刊：
影响因子：
37.8
通讯作者：
Laird, John R.
中科院分区：
文献类型：
--
作者：
Rogers, Jason H.;Laird, John R.
下肢外周动脉闭塞性疾病对传统的基于血管成形术的血管内治疗提出了独特的挑战。下肢动脉粥样硬化性疾病的弥漫性、慢性完全闭塞、远端流出不良和严重肢体缺血的存在都导致了球囊血管成形术治疗复杂腹股沟下动脉疾病的令人失望的结果。这些挑战催生了一系列新技术的发展，试图提高下肢外周动脉闭塞性疾病经皮血运重建术的安全性和有效性。本综述总结了现有技术的最新进展，包括新型血管成形术球囊;镍钛合金支架、覆膜支架和药物洗脱支架;切除、激光和旋切器械;通过完全闭塞的器械;真腔再入器械;血栓切除导管和栓塞保护器械。
Lower extremity peripheral arterial occlusive disease poses a unique challenge to traditional angioplasty- based endovascular therapies. The diffuse nature of lower extremity atherosclerotic disease, the presence of chronic total occlusions, poor distal runoff, and the presence of critical limb ischemia all have contributed to the disappointing results of balloon angioplasty for complex infrainguinal arterial disease. These challenges have spawned the development of a host of new technologies in an attempt to improve the safety and effectiveness of percutaneous revascularization for lower extremity peripheral arterial occlusive disease. This review summarizes the recent advances in available technologies, including novel angioplasty balloons; nitinol stents, stent grafts, and drug- eluting stents; excisional, laser, and rotational atherectomy devices; devices for crossing total occlusions; true-lumen reentry devices; thrombectomy catheters; and embolic protection devices.