Kawarada Osami, Yasuda Satoshi, Huang Janice, Honda Yasuhiro, Fitzgerald Peter J, Ishihara Masaharu, Ogawa Hisao
Department of Cardiovascular Medicine, National Cerebral and Cardiovascular Center.
Circ J. 2014;78(7):1540-9. Epub 2014 Jun 12.
Infrapopliteal arterial disease is a significant cause of critical limb ischemia (CLI), whether single-segment or multisegment disease. The collaboration between the tremendous advancements in endovascular technology and the refinement of endovascular techniques has renewed the classic infrapopliteal interventions during the past decade. With this paradigm shift in the treatment of CLI, the role of a comprehensive approach of different disciplines for tissue loss is becoming greater. Given the increasing global burden of CLI, we review the cutting-edge diagnostic and endovascular approaches to infrapopliteal artery disease, and the importance of wound management in optimizing clinical outcomes.
无论单节段还是多节段病变，腘下动脉疾病都是严重肢体缺血（CLI）的重要原因。在过去十年中，血管内技术的巨大进步与血管内技术的完善之间的协作，使经典的腘下介入治疗得以复兴。随着CLI治疗的这种范式转变，针对组织缺损的不同学科综合治疗方法的作用越来越大。鉴于CLI的全球负担日益加重，我们综述了腘下动脉疾病的前沿诊断和血管内治疗方法，以及伤口管理在优化临床结局中的重要性。
