Department of Vascular Surgery, Marshfield Clinic, 1000 North Oak Avenue, Marshfield, WI 54449, USA.
Surg Clin North Am. 2010 Dec;90(6):1215-25. doi: 10.1016/j.suc.2010.08.007.
In recent years percutaneous therapy has gradually been adopted as an alternative to primary amputation in persons deemed unsuitable as surgical candidates, and has established itself as a primary mode of treatment. There has been an explosion in endovascular technology and a revolution in revascularization patterns for limb salvage. Open surgery is now frequently reserved for failure of endovascular attempts or pathology unsuitable for endovascular revascularization. This article aims to educate the practicing general surgeon about the usefulness and appropriate application of different therapeutic endovascular options as applied to limb salvage.
近年来，经皮治疗已逐渐被采纳为不适合手术的患者的首选截肢替代方法，并已确立为主要治疗模式。腔内技术的爆炸式发展和肢体挽救的血运重建模式的革命性变化。现在，开放手术通常仅用于腔内尝试失败或不适合腔内血运重建的病理情况。本文旨在向普通外科医生传授不同治疗性腔内选择在肢体挽救中的有用性和适当应用。
