Kwon Yohan, Kim Jinoo, Won Je-Hwan, Kim Seong Ho, Kim Jeong-Eun, Park Sung-Joon
Taehan Yongsang Uihakhoe Chi. 2021 May;82(3):551-561. doi: 10.3348/jksr.2021.0036. Epub 2021 May 20.
Atherectomy has become a promising treatment option for peripheral artery disease caused by diabetes mellitus or end-stage renal disease. Atherectomy refers to the removal of atheromatous tissue by mechanical method, resulting in an enlarged lumen of the treated blood vessel. Based on this method, the term is limited to the percutaneous minimally invasive approach, and there are currently two types of atherectomy devices available in Korea. The increased prevalence of atherectomy has led to the concept of "vascular preparation" and a new treatment concept of "leave nothing behind." Various studies have proven the safety and effectiveness of atherectomy; however, there are some limitations. We need to remain focused on patient selection and subsequent large-scale research.
旋切术已成为治疗由糖尿病或终末期肾病引起的外周动脉疾病的一种有前景的治疗选择。旋切术是指通过机械方法去除动脉粥样硬化组织，从而使被治疗血管的管腔扩大。基于此方法，该术语仅限于经皮微创方法，目前韩国有两种旋切术设备。旋切术患病率的增加引发了“血管预处理”概念和“不留任何东西”的新治疗理念。各种研究已证明旋切术的安全性和有效性；然而，仍存在一些局限性。我们需要继续关注患者选择及后续的大规模研究。
