Bolia A, Miles K A, Brennan J, Bell P R
Department of Radiology, Leicester Royal Infirmary, England.
Cardiovasc Intervent Radiol. 1990 Dec;13(6):357-63. doi: 10.1007/BF02578675.
A technique for recanalization of femoral and popliteal arterial occlusions by intentional subintimal dissection is described. Recanalization with this technique was attempted in 71 occlusions of the femoro-popliteal segment with a mean length of 11.4 cm. Primary technical success was achieved in 54 (76%) cases, with complications occurring in 4 (5.6%). Of 44 successful cases reviewed at a mean follow up of 6 months, 37 (84%) were either asymptomatic or improved. The technique has proved to be an effective method of treating occlusions of the femoral and popliteal arteries with an acceptable complication rate. It may allow successful angioplasty where the standard intraluminal method fails, particularly when reconstructive surgery is the only option.
描述了一种通过有意的内膜下剥离术使股动脉和腘动脉闭塞再通的技术。采用该技术对71例平均长度为11.4 cm的股腘段闭塞进行再通尝试。54例（76%）取得了初步技术成功，4例（5.6%）出现并发症。在平均随访6个月的44例成功病例中，37例（84%）无症状或病情改善。该技术已被证明是治疗股动脉和腘动脉闭塞的有效方法，并发症发生率可接受。在标准腔内方法失败时，尤其是在重建手术是唯一选择的情况下，它可能使血管成形术成功。
