Jenkins J S, Collins T J, Ramee S R, White C J
Department of Cardiology, Ochsner Clinic and Alton Ochsner Medical Foundation, New Orleans, LA.
Ochsner J. 2001 Apr;3(2):70-7.
Percutaneous endovascular intervention has revolutionized the treatment of peripheral vascular disease by allowing successful treatment of patients who are not good surgical candidates. Cardiologists with peripheral vascular training are more readily able to identify patients with concomitant peripheral arterial disease. It has been our experience that the technical skills necessary to perform coronary angioplasty are transferable to the peripheral vasculature. However, an understanding of the natural history of peripheral disease and of patient and lesion selection criteria, and the knowledge of other treatment alternatives are essential elements required to perform these procedures safely and effectively. There are inherent advantages for patients when the interventionalist performing the procedure is also the clinician responsible for the pre- and post-procedure care, analogous to the vascular surgeon who cares for patients before and after surgical procedures. In view of the increased incidence of coronary artery disease in patients with atherosclerotic peripheral vascular disease, the participation of a cardiologist in their care seems appropriate.
经皮血管腔内介入治疗通过使那些不适合手术的患者得到成功治疗，彻底改变了外周血管疾病的治疗方式。接受过外周血管培训的心脏病专家更能够识别伴有外周动脉疾病的患者。我们的经验是，进行冠状动脉血管成形术所需的技术技能可转移至外周血管系统。然而，了解外周疾病的自然病史、患者和病变选择标准以及其他治疗选择的知识，是安全有效地进行这些手术所需的基本要素。当实施手术的介入专家也是负责术前和术后护理的临床医生时，对患者来说存在内在优势，这类似于血管外科医生在手术前后对患者的护理。鉴于动脉粥样硬化外周血管疾病患者中冠状动脉疾病的发病率增加，心脏病专家参与他们的护理似乎是合适的。
