Haddad Mustafa, Scheidt Matthew J
Division of Vascular and Interventional Radiology, Department of Radiology, Medical College of Wisconsin, Milwaukee, Wisconsin.
Semin Intervent Radiol. 2023 Jun 16;40(2):136-143. doi: 10.1055/s-0043-1768678. eCollection 2023 Apr.
Endovascular management of peripheral arterial disease is continually evolving. Most changes focus on addressing the challenges that hinder optimal patient outcomes; one of the most significant is how to best treat calcified lesions. Hardened plaque results in a variety of technical issues including impaired device delivery, decreased luminal revascularization, poor stent expansion, heightened risk of in-stent stenosis or thrombosis, and increased procedural time and cost. For this reason, plaque modification devices have been developed to mitigate this issue. This paper will describe these strategies and provide the reader with an overview of devices that can be used to treat chronically hardened lesions.
外周动脉疾病的血管内治疗方法在不断发展。大多数变化都集中在应对那些阻碍实现最佳患者治疗效果的挑战上；其中最显著的挑战之一就是如何最好地治疗钙化病变。硬化斑块会引发一系列技术问题，包括器械输送受损、管腔再血管化程度降低、支架扩张不良、支架内狭窄或血栓形成风险增加，以及手术时间延长和成本增加。因此，已开发出斑块改良器械来缓解这一问题。本文将描述这些策略，并为读者概述可用于治疗长期硬化病变的器械。
