Fiessinger J N
Service de Médecine vasculaire, Hôpital Broussais, Paris.
J Mal Vasc. 1994;19 Suppl A:147-9.
In cases of superficial femoral artery occlusion, the choice between endovascular therapy and medical rehabilitation is only relevant in the presence of an occlusion shorter than 10 cm. Thirty to fifty per cent of patients who had an endovascular procedure will have their artery patent for one year. The true benefit of this result can only be assessed by taking into account the efficiency of the medical treatment, the costs and the risks of the endovascular treatments. Endovascular techniques should be reserved for selected patients: psychologically or socially incapable of accepting the slowness and the restraints of the medical treatment.
在股浅动脉闭塞的病例中,血管内治疗和医学康复之间的选择仅在闭塞长度小于10厘米时才有意义。接受血管内手术的患者中有30%至50%的人其动脉在一年内保持通畅。只有考虑到医学治疗的效果、血管内治疗的成本和风险,才能评估这一结果的真正益处。血管内技术应仅用于特定患者:心理上或社会上无法接受医学治疗的缓慢进程和限制的患者。