Bahro Abdul, Igyarto Zsuzsanna, Williams Connie, Abraham John P, Martinsen Brad J
Merit Health Central, Jackson, MS, United States.
Cardiovascular Systems, Inc., St. Paul, MN, United States.
Cardiovasc Revasc Med. 2019 Mar;20(3):248-253. doi: 10.1016/j.carrev.2018.03.012. Epub 2018 Apr 6.
Calcified lesions in below-the-elbow (BTE) arteries are common in patients with diabetes or end-stage renal disease and can lead to critical hand ischemia (CHI). Treatment of calcified lesions with atherectomy has proved useful in the lower extremities, however, atherectomy in the upper extremities and especially BTE, is not typically considered due to the small vessel size. We review and discuss these studies along with other CHI-related articles and also present a case of a severely calcified ulnar artery lesion treated with orbital atherectomy and plain Chocolate balloon angioplasty.
肘部以下（BTE）动脉的钙化病变在糖尿病或终末期肾病患者中很常见，可导致严重的手部缺血（CHI）。已证明用旋切术治疗钙化病变在下肢是有效的，然而，由于血管尺寸小，上肢尤其是BTE的旋切术通常不被考虑。我们回顾并讨论了这些研究以及其他与CHI相关的文章，并展示了一例经眼眶旋切术和普通巧克力球囊血管成形术治疗的严重钙化尺动脉病变病例。
