Jia H Y, Guo W, Xiong J
Department of Vascular and Endovascular Surgery, People's Liberation Army General Hospital, Beijing 100853, China.
Zhonghua Wai Ke Za Zhi. 2020 Nov 1;58(11):826-830. doi: 10.3760/cma.j.cn112139-20200605-00437.
In recent years, stent implantation has played an important role in solving femoropopliteal artery disease. Because part of the femoropopliteal artery is at the level of the knee joint, the deformation of this segment of the artery is greater when the lower limbs are bent, and the stent fracture rate is higher. Studies have showed that the deformation of the femoropopliteal artery mainly includes bending, twisting, axial compression and radial compression. The selection of stents with mechanical properties suitable for the deformation of artery in different sections can reduce the risk of fracture. The commonly used clinical stent designs (classic laser engraving stent, braided stent and covered stent) have large differences in mechanical properties. Braided stents with higher radial support are more suitable for treating popliteal artery disease, while covered stent has good compliance and can be used in all segments. Of course, the existing types of stents cannot meet all mechanical requirements. The design of the new stent needs to be studied, and its clinical results need to be confirmed by research.
近年来,支架植入在解决股腘动脉疾病方面发挥了重要作用。由于股腘动脉的一部分位于膝关节水平,当下肢弯曲时,该段动脉的变形较大,支架断裂率较高。研究表明,股腘动脉的变形主要包括弯曲、扭转、轴向压缩和径向压缩。选择具有适合不同节段动脉变形的机械性能的支架可以降低断裂风险。临床常用的支架设计(经典激光雕刻支架、编织支架和覆膜支架)在机械性能上有很大差异。具有较高径向支撑力的编织支架更适合治疗腘动脉疾病,而覆膜支架具有良好的顺应性,可用于所有节段。当然,现有的支架类型并不能满足所有的机械要求。新型支架的设计需要进行研究,其临床效果需要通过研究来证实。