Teßarek Jörg, Oberhuber Alexander
Klinik für Gefäßchirurgie, Bonifatius Hospital Lingen, Wilhelmstraße 13, 49808 Lingen, Deutschland.
Klinik für Vaskuläre und Endovaskuläre Chirurgie, Universitätsklinikum Münster, Münster, Deutschland.
Gefasschirurgie. 2021;26(5):347-358. doi: 10.1007/s00772-021-00802-z. Epub 2021 Aug 13.
The cooperation of physicians, engineers and other sciences results in a steady launching of effective tools for vascular treatment, which further support the dominating position of endovascular therapy in the field of PAD. Parallel to the treatment options, non-radiation based image guidance is another area, where innovation helps to reduce radiation burden for patient and staff members without losing procedural quality and despite a growing number of radiation based procedures. Meanwhile, the available portfolio of endovascular tools allows to treat every vessel segment with results comparable to or even better then open surgery. This survey presents new techniques, tools and recently published results from related trials, which will probably have further influence on PAD treatment in the coming years.
医生、工程师和其他学科的合作带来了用于血管治疗的有效工具的不断推出，这进一步巩固了血管内治疗在下肢动脉硬化闭塞症（PAD）领域的主导地位。与治疗选择并行的是，基于非辐射的影像引导是另一个领域，在这个领域中，创新有助于在不降低手术质量且尽管基于辐射的手术数量不断增加的情况下，减轻患者和工作人员的辐射负担。与此同时，现有的血管内工具组合能够治疗每个血管段，其效果与开放手术相当甚至更好。本综述介绍了新技术、工具以及相关试验最近发表的结果，这些可能会在未来几年对PAD治疗产生进一步影响。
