Manzi Marco, Palena Luis M
Department of Interventional Radiology Unit, Foot and Ankle Clinic, Policlinico Abano Terme, Italy.
Semin Intervent Radiol. 2014 Dec;31(4):313-9. doi: 10.1055/s-0034-1393967.
Recent developments in catheter, balloon, and guidewire technology have increased the scope for endovascular treatments in the management of complex and challenging disease in the calf and foot. The antegrade femoral approach remains the starting point for most interventions, but there is a growing role for procedures performed from unconventional access such as the pedal arteries. This article reviews the indications for intervention, atypical access, and the choice of equipment for these extreme interventions.
导管、球囊和导丝技术的最新进展扩大了血管内治疗小腿和足部复杂且具有挑战性疾病的范围。顺行股动脉入路仍然是大多数干预措施的起点,但从诸如足动脉等非常规入路进行的手术发挥着越来越重要的作用。本文回顾了这些极端干预措施的干预指征、非典型入路以及设备选择。