Strecker E P, Hagen B, Liermann D, Boos I, Kuhn F P, Reifart N, Theron J, Betz E, Gabelmann A, Haberstroh J
Department of Diagnostic Radiology, Diakonissen-Hospital, Karlsruhe, Germany.
Cardiol Clin. 1994 Nov;12(4):673-87.
Knitted flexible tantalum stents proved to be a valuable adjunct to percutaneous transluminal angiplasty (PTA) in the case of insufficient PTA results, and their use was established in the distal aorta, the iliac, the femoro-popliteal, the renal, and the coronary arteries. Recently, long arterial occlusions were defined as new indications for primary stenting; stent indications were further extended to the subclavian, the carotid, and the splanchnic arteries. Due to higher incidence of acute and late complications after stent treatment of small diameter arteries, patients have to be selected thoroughly. Newly designed drug-releasing stents tested in animal experiments promised to be suitable to diminish the incidence of late restenosis due to intinal hyperplasia, thus providing better long-term patency.
对于经皮腔内血管成形术(PTA)效果不佳的情况,编织柔性钽支架被证明是一种有价值的辅助手段,其应用已在远端主动脉、髂动脉、股腘动脉、肾动脉和冠状动脉中确立。最近,长段动脉闭塞被定义为原发性支架置入的新适应症;支架适应症进一步扩展到锁骨下动脉、颈动脉和内脏动脉。由于小直径动脉支架治疗后急性和晚期并发症的发生率较高,必须对患者进行全面筛选。在动物实验中测试的新设计药物释放支架有望降低因内膜增生导致的晚期再狭窄发生率,从而提供更好的长期通畅率。