Neves Pedro J, Malgor Emily A, Kabeil Mahmood, Sobreira Marcone L, Malgor Rafael D
Division of Vascular and Endovascular Surgery, Department of Surgery, Anschutz Medical Center, University of Colorado, Aurora, CO, USA.
Botucatu Medical School - UNESP, Division of Vascular and Endovascular Surgery, Department of Surgery and Orthopedics, Botucatu, Brazil.
J Cardiovasc Surg (Torino). 2023 Apr;64(2):184-198. doi: 10.23736/S0021-9509.23.12544-4. Epub 2023 Feb 10.
Atherectomy as an endovascular modality to treat peripheral arterial disease has gained traction over the past 10 years. Unlike most other available technologies, atherectomy works by physically debulking atherosclerotic plaque via a variety of mechanisms being the femoropopliteal segment the most targeted one. The aims of this review were to detail the types of atherectomy available, existing evidence available for atherectomy use in the femoropopliteal segment as compared to other interventions, critical appraisal of its current use and the possible influences on its indication. Future steps regarding atherectomy usage and data presentation are also described.
作为一种治疗外周动脉疾病的血管内治疗方式,斑块切除术在过去10年中越来越受到关注。与大多数其他现有技术不同,斑块切除术通过多种机制物理性地去除动脉粥样硬化斑块,其中股腘段是最主要的治疗靶点。本综述的目的是详细介绍现有的斑块切除类型,与其他干预措施相比,股腘段使用斑块切除术的现有证据,对其当前使用情况的批判性评估以及对其适应症的可能影响。还描述了斑块切除术使用和数据呈现的未来步骤。