股腘动脉支架内再狭窄的处理

Femoropopliteal in-stent restenosis:current treatment strategies

关键词:  股腘动脉  支架内再狭窄  腔内治疗

Key words:  femoropopliteal arteries  in-stent restenosis  endovascular therapy

摘要:

随着外周动脉缺血性疾病腔内干预逐年增加，股腘动脉支架植入术后的支架内再狭窄（in-stent restenosis，ISR）问题日渐成为一个临床要面临的常见且重要的问题。股腘动脉支架内再狭窄的不同临床及影像学分型所对应的处理原则和方式有所不同；同时，选择不同的处理后获得的一期通畅率又存在很大的差异。因此，需要系统地对比不同方式处理后的临床结果，并给出针对不同的支架内再狭窄的推荐性临床处理路线。

Abstract:

The bare mental stents are increasingly used to treat the peripheral arterial ischemia, at the same time. the femoropopliteal in-stent restenosis remains a common and important clinical problem. Due to different clinical stages and angiographic classifications, treatment of femoropopliteal in-stent restenosis continues to evolve. The primary patency for each treatment remains difference. Clinical evidences for the currently available modalities in the treatment of femoropopliteal in-stent restenosis should be systematic reviewed. A proposed algorithm for the management of patients with femoropopliteal in-stent restenosis might be recommended.