Morrissey Nicholas J
Division of Vascular Surgery, Box 1273, Mount Sinai School of Medicine, One East 100th Street, New York, NY 10029, USA.
Mt Sinai J Med. 2004 Jan;71(1):1-3.
Aneurysmal degeneration of peripheral arteries occurs less frequently than aortic aneurysm. While rupture is the most common complication of aortic aneurysms, peripheral aneurysms frequently cause thrombosis or embolization of the involved vessels. It has generally been accepted that most peripheral aneurysms in good risk patients should be repaired to avoid the ischemic complications of thrombosis or embolization. Endovascular repair of abdominal aneurysms has revolutionized the treatment of aortic aneurysms. Endovascular techniques have been used to treat peripheral artery aneurysms with varying success. Thrombosis of stent grafts has been a significant problem which has limited the success of this treatment. At present, endovascular treatment of peripheral aneurysms must be reserved for selective instances in very high risk patients. Until devices are developed which resist kinking and thrombosis, open surgery will remain the treatment of choice.
外周动脉的动脉瘤样变性比主动脉瘤少见。虽然破裂是主动脉瘤最常见的并发症，但外周动脉瘤常导致受累血管的血栓形成或栓塞。一般认为，大多数风险较低的患者的外周动脉瘤应进行修复，以避免血栓形成或栓塞的缺血性并发症。腹主动脉瘤的血管内修复彻底改变了主动脉瘤的治疗方式。血管内技术已被用于治疗外周动脉瘤，取得了不同程度的成功。支架移植物的血栓形成一直是一个重大问题，限制了这种治疗方法的成功率。目前，外周动脉瘤的血管内治疗必须仅用于极高风险患者的特定情况。在开发出抗扭结和抗血栓形成的装置之前，开放手术仍将是首选的治疗方法。
