支架在股腘动脉闭塞治疗中的应用现状及问题  

Applications and problems of stents in the treatment of femoropopliteal arteriosclerosis obliterans

作　　者：谢海 张友嘉 李晓强 冉峰[1] Xie Hai;Zhang Youjia;Li Xiaoqiang;Ran Feng(Department of Vascular Surgery,Drum Tower Hospital,The Afiliated Hospital of Nanjing University Medical School,Nanjing 210000,China)

机构地区：[1]南京大学医学院附属鼓楼医院血管外科,南京210000

出　　处：《中华血管外科杂志》2024年第2期135-139,共5页Chinese Journal of Vascular Surgery

基　　金：江苏省基础研究计划自然科学基金(BK20231121)。

摘　　要：下肢动脉硬化闭塞症(ASO)是临床上最常见的下肢动脉疾病,由于动脉管腔狭窄和闭塞从而可能引起严重的肢体缺血,而股腘动脉是ASO的常见累及部位。传统的血管腔内治疗方式面临着术后通畅率低和再狭窄率高等问题,随着国内外临床试验和器材更新的不断支持,支架植入作为经典术式在ASO股腘动脉病变的临床应用中暴露许多问题并不断改进,衍生出多种支架类型,具备不同的性能与抗再狭窄机制,因此本文主要介绍应用于ASO股腘动脉病变中的各种支架类型,同时总结近年来国内外各新型支架的临床研究结果,对其应用现状及问题展开综述。Arteriosclerosis obliterans(ASO)of the lower extremities is the most common lower extremity arterial disease in clinical practice,which may cause critical limb ischemia due to stenosis and occlusion of the artery lumen and the femoropopliteal arteries are very common sites of ASO.On the one hand,traditional endovascular treatment methods face problems of low patency rate and high restenosis rate after surgery.On the other hand,with the continuous support from clinical trials and equipment updates both domestically and abroad,stent placement,as a classic operation method,has exposed many problems in the clinical application of ASO(femoropopliteal lesions),and continuously improved,resulting in various types of stents with different performance and mechanisms for preventing restenosis.Accordingly,this article mainly aims to introduce various types of stent applied in femoropopliteal artery lesions in ASO,summarize the clinical research findings on various new stents both at home and abroad in recent years,and review their applications and problems.

关 键 词：下肢动脉硬化闭塞症 支架 应用现状 综述 

分 类 号：R654.4[医药卫生—外科学]