Fukushima K, Yamaguchi T
Third Department of Internal Medicine Ohashi Hospital, Toho University School of Medicine.
Nihon Rinsho. 1993 Aug;51(8):2108-16.
Percutaneous transluminal balloon angioplasty has achieved a dominant role in the interventional treatments of atherosclerotic peripheral, renal, and coronary artery disease. Improved operator's technique and equipment design have increased the primary success rate. Despite improved success rate and safety, acute closure, late restenosis and difficulty in treating chronic total occlusions or diffuse lesions remain as serious limitations of this procedure. To overcome these limitations of balloon angioplasty, new devices such as stenting, atherectomy or laser ablation have been developed. Although there are many problems for each device, these techniques appear to reduce the limitations in angioplasty.
经皮腔内球囊血管成形术在动脉粥样硬化性外周血管、肾血管及冠状动脉疾病的介入治疗中已占据主导地位。术者技术的改进及设备设计的优化提高了首次成功率。尽管成功率和安全性有所提高，但急性闭塞、晚期再狭窄以及治疗慢性完全闭塞或弥漫性病变的困难仍然是该手术的严重局限。为克服球囊血管成形术的这些局限，已研发出诸如支架置入、斑块旋切术或激光消融等新设备。尽管每种设备都存在诸多问题，但这些技术似乎减少了血管成形术的局限性。
