股腘动脉复杂病变的腔内治疗现状  

Status quo of endovascular treatment for complex femoropopliteal artery lesions

作　　者：胡乐凡 王辉[1] 谷涌泉[1] Hu Lefan;Wang Hui;Gu Yongquan(Department of Vascular Surgery,Xuanwu Hospital of Capital Medical University,Institute of Vascular Surgery of Capital Medical University,Center for Clinical Treatment and Research of Lower Extremity Arteriosclerosis Obliterans,Beijing 100053,China)

机构地区：[1]首都医科大学宣武医院血管外科、首都医科大学血管外科研究所、首都医科大学下肢动脉硬化闭塞症临床诊疗与研究中心,北京100053

出　　处：《血管与腔内血管外科杂志》2025年第3期348-354,共7页Journal of Vascular and Endovascular Surgery

基　　金：国家重点研发计划重点专项项目(2021YFC2500504)。

摘　　要：股腘动脉因其低速、高阻的内环境使其在下肢动脉粥样硬化疾病中最常受累,其特殊的生物力学变化也给外科治疗带来很大挑战,这也使股腘动脉复杂性病变的血管重建成为腔内治疗的一个重大难题。随着新器械的研发与应用以及越来越多临床试验的佐证,一些新的治疗手段与治疗策略应运而生,有效提高了股腘动脉病变的手术成功率和远期通畅率,降低了靶病变再干预率,给复杂病变的腔内治疗带来了新的希望。Femoropopliteal artery is the most susceptible artery to atherosclerosis due to its low blood flow and high resistance internal environment.Its special biomechanical changes also bringing great challenges to endovascular treatment,which makes vessel reconstruction of complex femoropopliteal artery lesions a major problem.With the development and application of new devices and the increasing evidence from clinical trials,some new therapies and treating strategies came into being.These changes effectively improving surgical success rate and long-term patency,reducing target lesion revascularization,and bringing new hope to endovascular treatment of complex lesions.

关 键 词：股腘动脉 重度钙化 腔内治疗 斑块切除 

分 类 号：R543[医药卫生—心血管疾病]