Viabahn覆膜支架在复杂股浅动脉闭塞性疾病中的应用

Application of Viabahn stent graft in complex superficial femoral artery occlusive diseases

随着新器械、新技术不断涌现和临床医师的不懈努力,股动脉闭塞性病变的治疗方法在不断进步,并逐渐朝安全、有效和微创的方向发展。短段股动脉病变一般行经皮血管腔内血管成形术(PTA)或PTA加裸支架植入术,效果可靠。长段复杂的股浅动脉病变,传统的膝上股股转流术是公认的治疗方式。新型Viabahn覆膜支架的出现使得"腔内转流"成为了可能,它治疗复杂股浅动脉病变较传统治疗优势显著,通畅率满意,并可达到与人工血管旁路术相媲美的临床效果,本文综述了此方面的研究进展。

With the continuous development of new instruments and technologies and the unremitting efforts of clinicians,the treat-ment of occlusive diseases of femoral arteries has been progressing steadily,and has been developing toward safe, effective and mini-mally invasive approaches. For short-segment occlusion of femoral artery, percutaneous transluminal angioplasty （PTA） or PTA plus bare stent implantation is commonly performed, and has reliable effect. But for complex long occluded lesions of superficial femoral artery, the traditional femoral bypass is an accepted treatment modality. The new Viabahn covered stent graft have made＂luminal bypass＂become possible. Viabahn stent graft implantation is superior to traditional therapy with significant advantages, higher primary patency rate and comparable outcomes with prosthetic femoral-popliteal bypass surgery. This article reviewed the studies in this aspect.