经皮斑块旋切术治疗下肢动脉病变的现状与进展

Status and progress of atherectomy applied in treatment of lower extremity arterial diseases

传统经皮腔内血管成形术(PTA)及支架植入术(PTS)是治疗下肢动脉狭窄、闭塞性疾病的常规方法,但其远期通畅率并不理想。近年来,经皮斑块旋切术作为治疗下肢动脉狭窄、闭塞性病变的一种新方法日益受到重视,其中最新研制出的Silverhawk斑块旋切系统更有着广阔的应用前景。本文就经皮斑块旋切术在治疗下肢动脉狭窄、闭塞性病变中的应用进行综述。

PTA and PTS are the conventional curative therapies for lower extremity arterial stenotic and occlusive diseases.However,conventional PTA and PTS are limited for the disappointing long-term patency rate.Atherectomy is introduced as a new optional way in treating lower extremity arterial stenotic and occlusive diseases,having attracted more and more attention in recent years.Silverhawk atherectomy system is one of those new atherectomy devices and has broad prospects.The application of atherectomy in treating lower extremity arterial stenotic and occlusive diseases was reviewed in this article.