Wilkins Luke R, Sabri Saher S
Department of Radiology and Medical Imaging Division of Vascular and Interventional Radiology, University of Virginia Health System, Charlottesville, VA.
Department of Radiology and Medical Imaging Division of Vascular and Interventional Radiology, University of Virginia Health System, Charlottesville, VA.
Tech Vasc Interv Radiol. 2016 Jun;19(2):136-44. doi: 10.1053/j.tvir.2016.04.006. Epub 2016 Apr 28.
Endovascular management of chronic total occlusions (CTO) can be challenging both from decision-making and technical perspectives. Successful treatment and management of a CTO requires the operator to have an understanding of the salient imaging findings, a thorough knowledge of the various technical challenges of the procedure, and comprehension of the importance and necessity of long-term clinical management. This article outlines a general approach to endovascular management of lower limb CTOs and discusses indications, techniques, potential complications, and therapeutic options of the procedure.
慢性完全闭塞病变（CTO）的血管内治疗无论从决策还是技术角度来看都具有挑战性。成功治疗和管理CTO需要术者了解显著的影像学表现，全面掌握该手术的各种技术挑战，并理解长期临床管理的重要性和必要性。本文概述了下肢CTO血管内治疗的一般方法，并讨论了该手术的适应症、技术、潜在并发症及治疗选择。
