Strategy and technique on endovascular treatment of aortoiliac occlusive disease
包俊敏 1刘广钦 1陈章颖
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作者信息
1. 海军军医大学第一附属医院血管外科，上海 200433
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摘要
腔内治疗因其微创、易耐受、中远期通畅率满意等特点已成为主髂动脉闭塞症首选的治疗方法，但要提高腔内手术的成功率和疗效，必须重视入路选择和病变开通、血管准备方式、动脉重建方式、重要分支保护、严重并发症的预防等治疗策略和技术细节的把握，对此，笔者结合最新技术进展和个人经验进行较为全面的阐述，以期对广大同道能有所借鉴和裨益。 Endovascular therapy has become the first choice for the treatment of aortoiliac occlusive disease due to its characteristics of minimally invasive, easy to tolerate, and satisfactory medium- and long-term patency rates. However, to improve the technical success rate and efficacy of endovascular surgery, attention must be paid to treatment strategies and technical details such as the approach selection, the recanalization of lesions, the vessel preparation, the reconstruction of the arteries, the protection of important branches, and the prevention of serious complications. The author has made a relatively comprehensive exposition based on the latest technological progress and personal experience, in order to provide reference and benefit to my young colleagues.
Abstract
Endovascular therapy has become the first choice for the treatment of aortoiliac occlusive disease due to its characteristics of minimally invasive, easy to tolerate, and satisfactory medium- and long-term patency rates. However, to improve the technical success rate and efficacy of endovascular surgery, attention must be paid to treatment strategies and technical details such as the approach selection, the recanalization of lesions, the vessel preparation, the reconstruction of the arteries, the protection of important branches, and the prevention of serious complications. The author has made a relatively comprehensive exposition based on the latest technological progress and personal experience, in order to provide reference and benefit to my young colleagues.
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