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本文引用的文献

1
Outcomes of native superficial femoral artery chronic total occlusion recanalization after failed femoropopliteal bypass.股腘动脉旁路移植失败后，自体股浅动脉慢性完全闭塞再通的结果。
J Vasc Surg. 2017 Mar;65(3):726-733. doi: 10.1016/j.jvs.2016.09.021.
2
Long-Term Outcomes of Self-Expandable Nitinol Stent Implantation With Intraluminal Angioplasty to Treat Chronic Total Occlusion in the Superficial Femoral Artery (TransAtlantic Inter-Society Consensus Type D Lesions).腔内血管成形术联合自膨式镍钛合金支架植入治疗股浅动脉慢性完全闭塞（跨大西洋协作组D型病变）的长期疗效
J Invasive Cardiol. 2016 Feb;28(2):58-64.
3
Wire-Interwoven Nitinol Stent Outcome in the Superficial Femoral and Proximal Popliteal Arteries: Twelve-Month Results of the SUPERB Trial.股浅动脉和腘动脉近端的金属丝编织镍钛诺支架治疗结果：SUPERB试验的12个月结果
Circ Cardiovasc Interv. 2015 May;8(5). doi: 10.1161/CIRCINTERVENTIONS.113.000937.
4
Epidemiology of peripheral artery disease.外周动脉疾病的流行病学。
Circ Res. 2015 Apr 24;116(9):1509-26. doi: 10.1161/CIRCRESAHA.116.303849.
5
Use of Spider Filter Embolic Protection Device During Endovascular Revascularization of Acute Thromboembolic Occlusion of Superficial Femoral Artery.
Cardiovasc Intervent Radiol. 2015 Dec;38(6):1444-50. doi: 10.1007/s00270-015-1086-3. Epub 2015 Mar 31.
6
Outcomes of spot stenting versus long stenting after intentional subintimal approach for long chronic total occlusions of the femoropopliteal artery.经皮腔内血管成形术治疗股浅动脉长段慢性完全闭塞病变中直接内膜下寻径技术后短支架与长支架的临床疗效比较。
JACC Cardiovasc Interv. 2015 Mar;8(3):472-480. doi: 10.1016/j.jcin.2014.10.016. Epub 2015 Feb 18.
7
Society for Vascular Surgery practice guidelines for atherosclerotic occlusive disease of the lower extremities: management of asymptomatic disease and claudication.血管外科学会下肢动脉粥样硬化闭塞性疾病实践指南：无症状疾病和间歇性跛行的管理
J Vasc Surg. 2015 Mar;61(3 Suppl):2S-41S. doi: 10.1016/j.jvs.2014.12.009. Epub 2015 Jan 28.
8
Overview of classification systems in peripheral artery disease.外周动脉疾病分类系统概述。
Semin Intervent Radiol. 2014 Dec;31(4):378-88. doi: 10.1055/s-0034-1393976.
9
Revascularization for critical limb ischemia using the SpiderFX embolic protection device in the below-the-knee circulation: initial results.使用SpiderFX栓子保护装置对膝下循环严重肢体缺血进行血运重建：初步结果。
J Vasc Interv Radiol. 2014 Oct;25(10):1533-8. doi: 10.1016/j.jvir.2014.07.016. Epub 2014 Aug 22.
10
Drug-coated balloons vs. drug-eluting stents for treatment of long femoropopliteal lesions.药物涂层球囊与药物洗脱支架治疗长股腘动脉病变的比较
J Endovasc Ther. 2014 Jun;21(3):359-68. doi: 10.1583/13-4630MR.1.

长段慢性完全闭塞病变：血运重建策略

Long Chronic Total Occlusions: Revascularization Strategies.

作者信息

Sheeran Daniel, Wilkins Luke R

机构信息

Division of Vascular and Interventional Radiology, Department of Radiology and Medical Imaging, University of Virginia Health System, Charlottesville, Virginia.

出版信息

Semin Intervent Radiol. 2018 Dec;35(5):469-476. doi: 10.1055/s-0038-1676343. Epub 2019 Feb 5.

DOI:10.1055/s-0038-1676343
PMID:30728663
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6363540/
Abstract

The treatment of chronic total occlusions (CTO) in patients with peripheral arterial disease (PAD) is a complex topic with multiple treatment techniques and treatment strategies. The interventionalist treating patients with PAD should have both a defined treatment algorithm and multiple techniques available for crossing these challenging lesions. This article will cover techniques for treating CTOs and provide an overview of current available evidence.

摘要

外周动脉疾病（PAD）患者慢性完全闭塞（CTO）的治疗是一个复杂的话题，涉及多种治疗技术和治疗策略。治疗PAD患者的介入医生应具备明确的治疗方案以及多种用于攻克这些具有挑战性病变的技术。本文将介绍治疗CTO的技术，并概述当前可用的证据。