Xhepa Genti, Inzerillo Agostino, Constantinescu Ilinca, Faerber Pierre, Gleyzolle Adrien, Biondetti Pierpaolo, Del Grande Filippo, Xhepa Edon, Mortellaro Simone, Carrafiello Gianpaolo, Pellegrino Giuseppe, Ricoeur Alexis
Istituto di Imaging della Svizzera Italiana (IIMSI), Ente Ospedaliero Cantonale (EOC), 6900 Lugano, Switzerland.
Interventional Radiology Unit, University Hospital of Geneva (HUG), 1205 Geneva, Switzerland.
J Clin Med. 2025 May 21;14(10):3594. doi: 10.3390/jcm14103594.
Globally, cardiovascular disease is a leading cause of disability and early death, affecting 422.7 million people and causing 17.9 million deaths (31% of global deaths) in 2015. Peripheral arterial disease, previously overlooked compared to coronary artery disease, is now recognised as a major contributor to cardiovascular morbidity and mortality, with distinct characteristics. After noninvasive methods, the femoropopliteal segment is frequently treated with revascularisation, which is recommended for claudication and chronic limb-threatening ischemia (CLTI). Challenges such as mechanical stresses, chronic occlusions, extensive plaque, and calcification affect procedural success and vessel patency. Innovations were needed to address these issues, and vascular drug delivery devices have become integral to endovascular treatment. We review the current literature concerning a diverse range of these devices in clinical use and their role in managing symptomatic patients.
在全球范围内,心血管疾病是导致残疾和过早死亡的主要原因,2015年有4.227亿人受其影响,1790万人死于心血管疾病(占全球死亡人数的31%)。与冠状动脉疾病相比,外周动脉疾病以前一直被忽视,现在它被认为是导致心血管发病和死亡的主要因素,具有明显的特征。在采用非侵入性方法之后,股腘动脉段经常采用血运重建治疗,这一治疗方法适用于间歇性跛行和慢性肢体威胁性缺血(CLTI)。诸如机械应力、慢性闭塞、广泛斑块和钙化等挑战会影响手术成功率和血管通畅性。需要创新来解决这些问题,血管药物输送装置已成为血管内治疗不可或缺的一部分。我们回顾了当前有关临床使用的各种此类装置及其在治疗有症状患者中的作用的文献。