Nishimine K, Uchida H, Kichikawa K, Maeda M, Makutani S, Tanaka T, Kubota Y, Ohishi H
Department of Radiology, Nara National Hospital, Japan.
Nihon Geka Gakkai Zasshi. 1996 Jul;97(7):532-9.
Recently, interventional radiology (IVR) has been playing an important role as a treatment for the arterial occlusive diseases. Balloon angioplasty (PTA) is widely used for the stenotic lesions and clinical results are acceptable. However, some other procedures are frequently needed, and metallic stents (MS) are useful quite often. There are three main groups of stents: self-expanding stainless metallic stents (Z-stent, Wallstent), balloon-expandable stents (Palmaz stent, Strecker stent), and shape memory alloy stents, which are not clinically available for the iliac and femoro-popliteal arteries now in Japan except for Palmaz stent. However, it is expected that these MS will be available soon. In this paper we described the clinical utility of PTA and MS for the arterial occlusive diseases in the iliac and femoro-popliteal lesions based on our experience and past reports and also mentioned the future of IVR.
近年来,介入放射学(IVR)在动脉闭塞性疾病的治疗中发挥着重要作用。球囊血管成形术(PTA)广泛应用于狭窄病变,临床效果尚可。然而,常需要其他一些操作,金属支架(MS)也经常有用。支架主要有三大类:自膨式不锈钢金属支架(Z形支架、Wallstent支架)、球囊扩张式支架(Palmaz支架、Strecker支架)以及形状记忆合金支架,目前在日本,除了Palmaz支架外,形状记忆合金支架在髂动脉和股腘动脉病变中尚未应用于临床。不过,预计这些金属支架很快会应用于临床。本文基于我们的经验和既往报道,阐述了PTA和MS在髂动脉和股腘动脉病变的动脉闭塞性疾病中的临床应用价值,并提及了介入放射学的未来发展。