内膜下血管成形术与经腔内血管成形术治疗股动脉闭塞性疾病相比如何？

How does subintimal angioplasty compare to transluminal angioplasty for the treatment of femoral occlusive disease?

机构信息

Brighton and Sussex Medical School, University of Sussex, Brighton, UK.

The Norfolk and Norwich University Hospital, Norwich NR4 7UY, UK.

出版信息

Int J Surg. 2014;12(4):361-4. doi: 10.1016/j.ijsu.2014.01.007. Epub 2014 Jan 28.

DOI:10.1016/j.ijsu.2014.01.007

PMID:24480239

Abstract

A best evidence topic in surgery was written according to a structured protocol. The question addressed how subintimal angioplasty (SIA) compares to transluminal angioplasty (TA) for the treatment of femoral occlusive disease. One hundred and thirty two papers were found using the reported search; the 5 which represented the best evidence to answer the question are discussed. The evidence on this subject is limited; there are no randomised controlled trials (RCTs) comparing SIA to TA for pathologically equivalent lesions. However SIA remains a safe and effective alternative to surgical bypass grafting when TA cannot be performed.

摘要

一个最佳证据的主题在手术中根据一个结构化的协议编写。这个问题是关于内膜下血管成形术（SIA）与经腔血管成形术（TA）治疗股闭塞性疾病的比较。使用报告的搜索方法发现了 132 篇论文；讨论了其中 5 篇最能回答这个问题的最佳证据。这个主题的证据是有限的；没有随机对照试验（RCT）比较 SIA 和 TA 治疗病理等效病变。然而，当 TA 不能进行时，SIA 仍然是一种安全有效的替代手术旁路移植的方法。