An update on endovascular therapy of the lower extremities

被引:24
作者
Bates, MC
AbuRahma, AF
机构
[1] W Virginia Univ Phys Charleston, Dept Surg, Robert C Byrd Hlth Sci Ctr, Charleston, WV 25304 USA
[2] Vasc Ctr Excellence, Circulatory Dynam Lab, Charleston, WV USA
关键词
iliac artery; superficial femoral artery; popliteal artery; tibial artery; stenosis; occlusion; lower limb ischemia; critical limb ischemia; angioplasty; stents; stent-grafts; atherectomy; laser angioplasty;
D O I
10.1583/04-1324.1
中图分类号
R61 [外科手术学];
学科分类号
摘要
Considerable advances have been made over the last decade in percutaneous technology for treatment of atherosclerotic diseases in the iliac, femoropopliteal, and distal tibioperoneal arteries. While treatment strategies are well defined in the iliofemoral segment, where angioplasty and stenting perform well in appropriately selected lesions, the search for a durable transcatheter therapy for femoropopliteal and distal occlusive disease continues. The spectrum of treatment alternatives to angioplasty ranges from transcatheter plaque excision to laser ablation, rotational atherectomy, cryoplasty, brachytherapy, and stenting. We review in this article the status of percutaneous endovascular techniques for the treatment of lower extremity vascular occlusive disease.
引用
收藏
页码:107 / 127
页数:21
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