摘要
下肢动脉再手术的原因包括移植物狭窄、闭塞和感染等,应根据不同原因采取不同的方法。对于没有静脉可用或难以耐受手术的高风险患者,腔内成形可能是开放手术的最佳替代方法。腹主动脉瘤传统手术及腔内修复术后的再手术应根据不同原因采取相应策略,腔内修复较传统手术有较高的再次干预率。复发性的颈动脉狭窄再次手术方法尚有争论,应在相同条件下进行临床实验比较颈动脉内膜剥脱(CEA)和颈动脉支架(CAS)的优劣。
Appropriate reoperation of the lower extremity artery may be required because of graft steosis, occlusion, and infecton. For high-rist patients who have no autogeneic vein available or who are not suitable for open reoperation, endoluminal plasty may be an alternative. The options of treatment for abdominal aortic aneurysm include traditional procedures and endovascular aneurysm repair （EVAR）. The reintervention rate is higher in EVAR than in traditional procedures. The options of treatment for recurrent carotid artery stenosis remain controversial. The advantages and disadvantages of carotid endarterectomy （CEA） and carotid artery stent （CAS） should be compared under comparable clinical situations.
出处
《中国医学科学院学报》
CAS
CSCD
北大核心
2007年第1期16-20,共5页
Acta Academiae Medicinae Sinicae
关键词
血管外科
再手术
治疗
vascular diseases
reoperation
treatment
