Division of Vascular and Endovascular Surgery, Department of Surgery, Stony Brook University Hospital, Stony Brook, NY, USA.
Vasc Endovascular Surg. 2023 Aug;57(6):599-606. doi: 10.1177/15385744231156077. Epub 2023 Feb 6.
Balloon angioplasty with/without utilizing drug eluting technology or stenting constitutes the treatment of choice for a significant percentage of patients with peripheral artery disease requiring an intervention. However, in cases of diffuse disease and plaque complexity, angioplasty may lead to dissection, recoil, and/or early restenosis, making vessel preparation a key component for successful and durable endovascular revascularization outcome. This review of literature aims to present contemporary data for several commercially available specialty balloons that have been designed to minimize the arterial wall stress of conventional balloon angioplasty and facilitate technical success, as well as long-term patency.
球囊血管成形术结合/不结合药物洗脱技术或支架置入术构成了相当一部分外周动脉疾病患者介入治疗的首选。然而，在弥漫性疾病和斑块复杂性的情况下，血管成形术可能导致夹层、回缩和/或早期再狭窄，因此血管准备是成功和持久的血管腔内血运重建结果的关键组成部分。本文献复习旨在介绍几种已上市的特殊球囊的最新数据，这些球囊旨在最大限度地减少传统球囊血管成形术对动脉壁的压力，并促进技术成功和长期通畅。
