如何规避主髂动脉腔内治疗的误区

How to Avoid Endovascular Treatment Pitfalls of Aortoiliac Occlusive Disease

随着我国人口老龄化,主髂动脉硬化闭塞性疾病已成为临床常见病和多发病。因腔内治疗的微创优势,目前临床上将其作为主髂动脉硬化闭塞性疾病首选治疗方式的趋势显著增加。然而,由于操作者的学习曲线及腔内治疗本身具备的特性,仍有许多误区甚至陷阱需要我们规避。合理选择腔内治疗适应证,应用新型保护技术提高平肾动脉水平主髂动脉长段闭塞腔内治疗安全性,腔内操作谨慎小心,都是提高手术安全性的重要措施。

With the aging of the population, Aortoiliac occlusive disease （AIOD） already has been a common dis- ease. Because of the minimally invasive advantage of the endovascular treatment, the trend that it is chose as the first choice for AIOD increases considerably. However, due to the learning curve and the instinct characteristics of endovaseular treat- ment, there are many misunderstandings and traps that should be avoided. This article will discuss the pitfalls and skills of en- dovaseular treatment on AIOD. Reasonable selection of endovascular treatment, new technology to protect renal artery, operat- ing as gently as possible, are important measures.