Division of Vascular Therapy, Hawaii Permanente Medical Group and Kaiser Foundation Hospital, Honolulu, Hawaii 96819, USA.
J Vasc Surg. 2013 Aug;58(2):529-34. doi: 10.1016/j.jvs.2013.03.002. Epub 2013 May 1.
Endovascular reconstruction of the femoral and popliteal arteries is replacing femoral-popliteal bypass. This is made possible by subintimal recanalization to manage long chronic total occlusions. Re-entry into the true lumen is the most challenging step in this process. This article summarizes the techniques for re-entry into the true lumen in the superficial femoral and above- and below-the-knee popliteal arteries.
股腘动脉的腔内重建正在取代股腘旁路。这得益于内膜下开通技术来处理长段慢性完全闭塞病变。真腔再进入是该技术中最具挑战性的步骤。本文总结了在股浅动脉和膝上及膝下腘动脉中进入真腔的技术。