Mustapha Jihad A, Anose Bynthia M, Martinsen Brad J, Pliagas George, Ricotta Joseph, Boyes Christopher W, Lee Michael S, Saab Fadi, Adams George
Advanced Cardiac & Vascular Centers, Grand Rapids, MI, USA.
Department of Clinical and Scientific Affairs, Cardiovascular Systems, Inc., St. Paul, MN, USA.
SAGE Open Med. 2020 Jun 4;8:2050312120929239. doi: 10.1177/2050312120929239. eCollection 2020.
This review is intended to help clinicians and patients understand the present state of peripheral artery disease, appreciate the progression and presentation of critical limb ischemia/chronic limb-threatening ischemia, and make informed decisions regarding inflow and outflow endovascular revascularization and surgical treatment options within the context of current debates in the medical community. A controlled literature search was performed to obtain research on outcomes of critical limb ischemia patients undergoing complete leg revascularization for peripheral artery disease inflow and outflow disease. Data for this review were identified by queries of medical and life science databases, expert referral, and references from relevant papers published between 1997 and 2019, resulting in 48 articles. The literature review herein indicates that endovascular revascularization-including ballooning, stenting, and atherectomy-is an effective peripheral artery disease therapy for both above the knee and below the knee disease, and can safely and effectively treat both inflow and outflow disease. As such, it plays a leading role in the therapy of lower extremity artery disease.
本综述旨在帮助临床医生和患者了解外周动脉疾病的现状，认识严重肢体缺血/慢性肢体威胁性缺血的进展和表现，并在医学界当前的争论背景下，就是否进行流入道和流出道血管腔内血运重建以及手术治疗方案做出明智的决策。我们进行了一项对照文献检索，以获取关于因外周动脉疾病流入道和流出道疾病而接受全腿血运重建的严重肢体缺血患者的研究结果。通过查询医学和生命科学数据库、专家推荐以及1997年至2019年间发表的相关论文参考文献，确定了本综述的数据，共得到48篇文章。本文的文献综述表明，血管腔内血运重建（包括球囊扩张、支架置入和斑块旋切术）对于膝上和膝下疾病都是一种有效的外周动脉疾病治疗方法，并且能够安全有效地治疗流入道和流出道疾病。因此，它在下肢动脉疾病的治疗中起着主导作用。
