血管减容术在下肢动脉硬化闭塞症中的应用现状  

Application status of debulking atherectomy in lower limb ateriosclerosis obliterans

作　　者：苏志向 谷涌泉[1] Su Zhixiang;Gu Yongquan(Department of Vascular Surgery,Xuanwu Hospital Capital Medical University,Beijing 100053,China)

机构地区：[1]首都医科大学宣武医院血管外科,北京100053

出　　处：《国际外科学杂志》2019年第11期758-762,共5页International Journal of Surgery

基　　金：国家重点研发计划项目(2017YFC1104100);北京市医院管理局“登峰”人才培养计划(DFL20150801)。

摘　　要：经皮腔内血管成形术及支架置入术虽已广泛应用于下肢动脉硬化闭塞症中,但在临床应用中会出现通畅率不佳、支架再狭窄、支架断裂等问题,随着血管腔内技术的发展,血管减容术通过减少管腔负荷、扩大管腔容量能很好改善相应的问题,而在下肢动脉硬化闭塞症中应用较为广泛的血管减容术主要是激光消蚀术及斑块旋切术,本文主要对这2种减容方法在下肢动脉硬化闭塞症中的应用作一综述。Percutaneous balloon angioplasty and stent placement have been widely used in the treatment of lower limb arteriosclerosis obliterans.However,lower patency rate,in-stent restenosis,stent fracture become critical problems in clinical practice.With the development of endovascular techniques,debulking atherectomy can effectively solve these problems via removing plaque and enlarging lumen capacity.Among debulking atherectomy techniques,laser ablation and directional atherectomy are the main methods in treating arteriosclerosis obliterans.This article reviews the applications and the progresses of the two methods.

关 键 词：斑块切除术 动脉硬化 下肢 激光消蚀 

分 类 号：R[医药卫生]