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中国现代医药杂志2020年3月第22卷第3期MMJC, Mar 2020, Vol 22, No.3・27 •Aboyans.2017 ESC guidelines on the diagnosis and treatment of peripheral arterial diseases f in collaboration with the European

料,以降低术后再狭窄的发生率。而DCB的出现, 为腔内治疗展开了一个新的方向。POBA联合DCB

的使用,以及必要时的支架置入术,已成为目前治

4

Society for Vascular Surgery ( ESVS ) [J].European Journal of Vascular and Endovascular Surgery, 2018,55(3): 301-302疗股JH动脉硬化闭塞性疾病的主流方法。再配合

5 Lammer J, Zeller T, Hausegger KA, et al.Sustained benefit at 2 years for covered stents versus bare-metal stents in long SFA

术前的斑块旋切腔内减容手术,以降低血管的弹性 回缩及限流性夹层形成,减少血管支架的置入,从

而提高病变血管的即时通畅率和减少中远期再狭

lesions:the viastar trial[J].Cardiovasc Intervent Radiol,2015,38(1): 25-32窄的发生。而传统动脉搭桥手术在远期通畅率方

6 Lin PH, Weakley SM, Kougias P.How to interpret data from the

面仍有其独特的优势,尤其对于大隐静脉功能良好

superficial femoral artery stenting trials and registries?[J].Semin Vase Surg,2010,23(3): 138-147而病变复杂且身体条件允许的患者,不失为一个好

7 Laird JR, Katzen BT, Scheinert D, et al.Nitinol stent implantation versus balloon angioplasty for lesions in the superficial femoral artery and proximal popliteal artery: twelve-month results from

的选择。故对于股胭动脉硬化闭塞症患者治疗方 案的选择,应从患者的实际情况出发,根据患者的

血管条件及全身状况,制定个体化治疗方案,不仅

the resilient randomized trial[J].Circ Cardiovasc Interv,2010,3(3):

要做到安全、有效,还要降低术后再狭窄的发生率,

267-276提高中远期通畅率,降低靶病变血管的二次甚至多 次手术的风险。8 Tosaka A, Soga Y, Iida 0, et al.Classification and clinical impact of restenosis after femoropooliteal stenting[J].J Am Coll Cardiol t 2012,59(1):16-239 Krishnan P, Faries P, Niazi K, et al.Stellarex drug-coated balloon for treatment of femoropopliteal disease: twelve-month outcomes from the randomized illumenate pivotal and pharmacokinetic

参考文献1 Dua A, Lee CJ.Epidemiology of peripheral arterial disease and

studies[J].Circulation,2017,136( 12): 1102-1113critical limb lschemia[J].Tech Vase Interv Radiol,2016,19(2):

10 Scheinert D, Schmidt A, Zeller T, et al.German center subanalysis

91-95of the levant 2 global randomized study of the lutonix drug-

2 Lichtenberg M, Stahlhoff FW, Boese D.Endovascular treatment of acute limb ischemia and proximal deep vein thrombosis using

coated balloon in the treatment of femoropopliteal occlusive disease[J].J Endovasc Ther, 2016,23 ( 3 ) : 409-41611

rotational thrombectomy: A review of published literature[J].

Arvela E, Venermo M, SoderstrOm M, et al.Outcome of

Cardiovasc Revasc Med,2013,14(6) :343-3483

Fowkes FG, Rudan D, Rudan I, et al.Comparison of global estimates of prevalence and risk factors for peripheral artery

infrainguinal single-segment great saphenous vein bypass for critical limb ischemia is superior to alternative autologous vein bypass, especially in patients with high operative risk[J].Ann Vase Surg,2012,26 (3):396—403disease in 2000 and 2010: a systematic review and analysis[J]. Lancet,2013,382(9901 ): 1329-1340(收稿:2019-12-13)本刊重要启事为适应我国信息化建设需要,扩大作者学术交流渠道,本刊已加入《中国学术期刊(光盘版)》和《中国期刊网》全文数据库以

及《中文科技期刊全文数据库》,如作者不同意将论文编入数据库,请在来稿中声明,本刊将做适当处理。如无特别说明,本刊

将视为同意。

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