Peripheral Vascular Interventions, Division of Cardiovascular Medicine, University Medical Center, The Ohio State University College of Medicine, 473 West 12th Avenue, Columbus, OH 43210, USA.
Cardiol Clin. 2011 Aug;29(3):351-61. doi: 10.1016/j.ccl.2011.04.007.
Upper extremity arteries are affected by occlusive diseases from diverse causes, with atherosclerosis being the most common. Although the overriding principle in managing patients with upper extremity arterial occlusive disease should be cardiovascular risk reduction by noninvasive and pharmacologic means, when target organ ischemia produces symptoms or threatens the patient's well-being, revascularization is necessary. Given their minimally invasive nature and successful outcomes, percutaneous catheter-based therapies are preferred to surgical approaches. The fact that expertise in these techniques resides in not one but several disciplines (vascular surgery, radiology, cardiology, vascular medicine) makes this an area ripe for multidisciplinary collaboration to the benefit of patients.
上肢动脉可因多种原因导致阻塞性疾病，其中动脉粥样硬化最为常见。尽管通过非侵入性和药物手段降低心血管风险是治疗上肢动脉闭塞性疾病患者的首要原则，但当靶器官缺血引起症状或威胁患者的健康时，就需要进行血运重建。鉴于经皮导管介入治疗具有微创和良好疗效的特点，因此优于手术治疗。由于这些技术不仅需要血管外科、放射科、心脏病学和血管医学等多个学科的专业知识，因此这是一个非常适合多学科合作的领域，以造福患者。
