Wiesinger B, Heller S, Schmehl J, Claussen C D, Wiskirchen J, Tepe G
Department of Diagnostic Radiology, University of Tübingen, Tübingen, Germany.
Minerva Cardioangiol. 2006 Feb;54(1):83-93.
The superficial femoral artery (SFA) is a frequent target of atherosclerotic disease predominantly in the proximal section near the bifurcation to the deep femoral artery and in the distal section where the adductor muscles tend to compress the artery. In the past, SFA revascularization was the domain of vascular surgery (femoropopliteal and femorodistal bypasses). However, with the development of endovascular treatment and advancing techniques as well as more sophisticated stenting material and balloons, endovascular treatment is nowadays not just a treatment option but, in most cases, preferable at least as initial revascularization procedure in the treatment of peripheral artery vascular disease. In the last years, many efforts have been made to fight restenosis in revascularized artery segments after stenting and/or angioplasty. This article aims to give a review on this topic including the most recent experience with the various latest revascularization techniques such as drug eluting stents, coated stent grafts, brachytherapy, cryoplasty, cutting balloons, and drug coated balloons.
股浅动脉（SFA）是动脉粥样硬化疾病的常见靶点，主要发生在靠近股深动脉分叉处的近端节段以及内收肌倾向于压迫动脉的远端节段。过去，SFA血管重建是血管外科领域（股腘动脉和股远端旁路移植术）的范畴。然而，随着血管内治疗的发展、技术的进步以及更先进的支架材料和球囊的出现，如今血管内治疗不仅是一种治疗选择，而且在大多数情况下，至少作为外周动脉血管疾病治疗中的初始血管重建程序更受青睐。在过去几年中，人们为对抗支架置入和/或血管成形术后血管重建节段的再狭窄做出了许多努力。本文旨在对该主题进行综述，包括各种最新血管重建技术的最新经验，如药物洗脱支架、带涂层的支架移植物、近距离放射治疗、冷冻球囊血管成形术、切割球囊和药物涂层球囊。
