Terrinoni V, Bellini N, Abate O, Carbone G, Altilia F, Bianchi G, Imondi G, Rengo M
I Istituto di Clinica Chirurgica, Università degli Studi La Sapienza, Roma.
G Chir. 1997 Mar;18(3):122-6.
The Authors, after a Literature review on endovascular invasive procedures used for inferior limbs obstructive arteriopathy, describe the use of a new device for mechanical endarterectomy. Through the latest acquired experience the importance of dissecting progressively the single layers of the atheroma plaque without arriving to a complete denudation of the arterial wall, so avoiding the risk of myointimal hyperplasia reactions, is outlined. The possibility of using endoarterial stents in case of more indaginous recanalization is also stressed.
作者在对用于下肢阻塞性动脉病的血管内侵入性手术进行文献综述后,描述了一种用于机械性动脉内膜切除术的新装置。通过最新获得的经验,强调了逐步剥离动脉粥样斑块各层而不导致动脉壁完全剥脱的重要性,从而避免肌内膜增生反应的风险。还强调了在更难再通的情况下使用动脉内支架的可能性。