Division of Vascular and Endovascular Surgery, Harvard Medical School, 548305Massachusetts General Hospital, Boston, MA. USA.
Vasc Endovascular Surg. 2022 Jul;56(5):539-544. doi: 10.1177/15385744221086347. Epub 2022 Mar 31.
Chronic limb-threatening ischemia (CLTI) carries a high risk of amputation and warrants urgent intervention. CLTI involving the infrageniculate vessels, in particular, carries a considerably higher risk of major limb amputation. Open surgical bypass is the historical gold standard for the treatment of tibial arterial disease; however, endovascular therapy provides an attractive alternative in this high-risk patient population. In this article, we review the existing literature regarding distal bypass and infrageniculate endovascular intervention in patients with CLTI.
慢性肢体威胁性缺血 (CLTI) 有很高的截肢风险，需要紧急干预。特别是涉及膝下血管的 CLTI，发生主要肢体截肢的风险相当高。开放手术旁路是治疗胫骨动脉疾病的历史金标准；然而，腔内治疗为这一高危患者群体提供了有吸引力的替代方案。在本文中，我们回顾了关于 CLTI 患者的远端旁路和膝下腔内介入治疗的现有文献。
