Marache P
Service de Radiologie, Hôpital Cardiologique, C.H.R.U. de Lille.
Bull Acad Natl Med. 1991 Oct;175(7):1113-9; discussion 1119-20.
Percutaneous transluminal recanalization of vessels (angioplasty) has been invented by radiologists. Their recent huge development may conceal 120 others endovascular interventional procedures performed by radiologists, surgeons, cardiologists, anesthetists. A variety of interventional endovascular instruments have been produced and used in a wide field of pathologies: balloons for proximal clamping, distal embolization by particles, arterial desobstruction by seeking devices, propping of vascular lumen by stenting, in situ infusion of drugs (fibrinolysis), filters, foreign body retrieval systems. Training in vascular interventional radiology must include experience with endovascular instruments, but also instruction in radiation effects and protection, practice in angiographic lab and perfect knowledge of clinical manifestations and natural history of the disease to be treated.
血管腔内血管再通术（血管成形术）是由放射科医生发明的。其最近的巨大发展可能掩盖了放射科医生、外科医生、心脏病专家、麻醉师所进行的其他120种血管内介入手术。已经生产出了各种各样的介入性血管内器械，并应用于广泛的病理学领域：用于近端钳夹的球囊、通过颗粒进行远端栓塞、用探测装置清除动脉阻塞、用支架支撑血管腔、原位药物输注（纤维蛋白溶解）、过滤器、异物取出系统。血管介入放射学培训不仅必须包括使用血管内器械的经验，还必须包括辐射效应和防护方面的指导、血管造影实验室的实践以及对待治疗疾病的临床表现和自然病史的透彻了解。
