Rieger J, Treitl M, Reiser M, Ruppert V
Institut für Klinische Radiologie, Klinikum Innenstadt der Ludwigs-Maximilians-Universität, Pettenkoferstrasse 8a, 80336 Munich.
Radiologe. 2006 Nov;46(11):955-61. doi: 10.1007/s00117-006-1425-0.
Aggressive risk factor modification, change of eating habits, exercise programs, and forceful antiplatelet therapy are the most important tools for the treatment of PAOD in symptomatic patients suffering from intermittent claudication. There are however no guidelines for revascularization at this stage. Endovascular treatment has been increasingly utilized over the last decade and increasingly displaced vascular surgery. Amongst numerous endovascular techniques beside PTA, stents meanwhile play the most important role due to constant technical progress. Results regarding the rate of restenosis or patency rates still remain worse compared to other vascular beds. This paper gives a review over recent results, currently available stent techniques, and possible indications for the endovascular therapy of an artery, which has turned out to be the biggest ordeal for material and construction of stents.
积极的危险因素修正、饮食习惯改变、运动计划以及强力抗血小板治疗是治疗有间歇性跛行症状的外周动脉闭塞性疾病（PAOD）患者的最重要手段。然而，现阶段尚无血管再通的指南。在过去十年中，血管腔内治疗的应用越来越广泛，并逐渐取代了血管外科手术。在除经皮腔内血管成形术（PTA）之外的众多血管腔内技术中，由于技术的不断进步，支架目前发挥着最重要的作用。与其他血管床相比，再狭窄率或通畅率的结果仍然较差。本文综述了近期的结果、目前可用的支架技术以及动脉血管腔内治疗的可能适应症，事实证明，这对支架的材料和结构来说是最大的考验。
