Arslan Bulent, Madassery Sreekumar
Division of Vascular and Interventional Radiology, Department of Radiology, Rush University Medical Center, Chicago, Illinois.
Semin Intervent Radiol. 2023 Jun 16;40(2):172-176. doi: 10.1055/s-0043-1768607. eCollection 2023 Apr.
Critical limb ischemia, also referred to as chronic limb-threatening ischemia, is a major medical problem leading to limb amputations if not managed properly with a multispecialty team. Establishment of sufficient arterial flow to the foot is an integral part of this care. During the past two to three decades, arterial revascularization has become primarily endovascular with open surgical approaches significantly diminished in comparison. As techniques, tools, and experiences of the interventionalist have improved, the ability to recanalize more complex lesions has become more commonplace. We are at an age that even the arteries below the ankle can be accessed for complex interventions and even be recanalized if necessary. This article will discuss common arterial interventions performed below the ankle.
严重肢体缺血，也称为慢性肢体威胁性缺血，是一个重大的医学问题，如果没有多专科团队进行妥善管理，可能导致肢体截肢。为足部建立充足的动脉血流是这种治疗的一个组成部分。在过去二三十年里，动脉血运重建主要采用血管腔内治疗，相比之下，开放手术方法显著减少。随着介入专家的技术、工具和经验不断改进，再通更复杂病变的能力变得越来越普遍。我们所处的时代，即使是脚踝以下的动脉也可以进行复杂干预，必要时甚至可以再通。本文将讨论在脚踝以下进行的常见动脉干预措施。
