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TASC-D型下肢动脉硬化闭塞症腔内治疗现状

Endovascular treatment of lower extremity arteriosclerosis obliterans of TASC-D type: its current clinical situation

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【作者】 李艳奎吴义生张小明

【Author】 LI Yan-kui;WU Yi-sheng;ZHANG Xiao-ming;Department of Vascular Surgery,the Second Hospital of Tianjin Medical University;

【机构】 天津医科大学第二医院血管外科北京大学人民医院血管外科

【摘要】 2007年泛大西洋协作组织共识(TASCⅡ)会议指南将主髂动脉和股腘动脉病变分为4型,建议对TASC-A型病变行腔内介入治疗,对B、C型病变参考多种因素行个体化治疗,对D型病变选择外科手术治疗。近年随着影像学及材料学研究进展、介入操作者技能提升,临床上对相对复杂的TASCD型主髂动脉、股腘动脉硬化闭塞症也越来越多地采用创伤相对小的介入治疗,并取得了较好的临床疗效。本文就TASC-D型下肢动脉硬化闭塞症腔内介入治疗现状作一综述。

【Abstract】 In 2007, Transatlantic Cooperation Society Consensus Ⅱ(TASCⅡ) Conference Guideline has divided the aortoiliac artery and femoral popliteal artery diseases into 4 types, suggesting that endovascular treatment should be employed for TASC-A type lesions, individualized therapy should be adopted for TASC-B and TASC-C type lesions when a variety of factors are taken into consideration, and surgical treatment should be used for TASC-D type lesions. In recent years, along with the development of imaging technique and material science as well as the improvement of interventional operator ’s skill, the mini-invasive interventional therapy has been more and more performed for the relatively complex TASC-D type aortoiliac artery and femoral popliteal artery occlusive diseases, and satisfactory clinical curative effect has been achieved. This paper aims to make a comprehensive review about the current situation of endovascular treatment for lower extremity arteriosclerosis obliterans of TASC-D type in clinical practice.

【关键词】 动脉硬化闭塞症介入治疗球囊支架
【Key words】 arteriosclerosisocclusioninterventional therapyballoonstent
  • 【文献出处】 介入放射学杂志 ,Journal of Interventional Radiology , 编辑部邮箱 ,2015年06期
  • 【分类号】R543.6
  • 【被引频次】16
  • 【下载频次】278
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