腘动脉狭窄闭塞性病变的腔内治疗

Endovascular treatment for popliteal atherosclerotic lesions: current strategies

关键词:  腘动脉  定向旋切  药物涂层球囊  支架

Key words:  popliteal artery  directional atherectomy  drug coated balloon  stent

摘要:

由于特殊的解剖位置，腘动脉需要承受着巨大的机械性应力，其狭窄闭塞性病变腔内治疗的策略和疗效一直有异于下肢动脉的其他部位。随着腔内治疗的日益发展，腘动脉病变腔内治疗的众多研究也推陈出新，如药物涂层球囊、定向旋切、新型支架的应用等。因此需要系统地对比各种研究并归纳出最优化的临床处理选择。

Abstract:

Due to its anatomical location, popliteal artery is under great mechanical stress. Thus, the strategy and curative effect of endovascular treatment for stenosis and occlusive disease of popliteal artery have always been different from other parts of the lower extremity. With the increasing progress of endovascular therapy, many clinical studies for atherosclerotic lesions of popliteal artery have been innovated. Clinical evidences for the currently available modalities in the treatment of atherosclerotic lesions of popliteal artery should be systematic reviewed. A proposed algorithm for the management of patients with popliteal artery lesions might be recommended.