下肢动脉粥样硬化闭塞支架术后再狭窄研究进展
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(重庆市巴南区人民医院血管外科,重庆市 401320)

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张承圣,主治医师,研究方向为甲状腺和乳腺血管外科,E-mail为rockzcs@163.com。

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Research progress of restenosis after stenting in patients with lower extremity atherosclerosis
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Department of Vascular Surgery, People's Hospital of Chongqing Banan District, Chongqing 401320, China)

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    摘要:

    下肢动脉硬化闭塞症(ASO)是由动脉粥样硬化引起动脉狭窄、闭塞性疾病。血管内支架成形术作为一种微创、安全及有效的方法,近年来已广泛应用于股腘动脉ASO治疗,但术后支架内再狭窄(ISR)发生率高,严重影响患者临床预后。支架内再狭窄问题依然是支架应用所面临的主要问题。文章对支架置入后再狭窄的发生机制、危险因素及最新的治疗进展做一综述,对支架内再狭窄防治具有一定的意义。

    Abstract:

    Arteriosclerosis obliterans of lower extremity (ASO) is caused by atherosclerosis and characterized by arterial stenosis and occlusion. Endovascular stenting as a minimally invasive, safe and effective method, has been widely used in the femoral artery and popliteal artery ASO treatment. However, the incidence of restenosis (ISR) in the stent is high, which seriously affects the clinical prognosis of the patients. Stent restenosis remains a major problem in stent use. In this paper, the mechanism, risk factors and the latest treatment progress of restenosis after stent implantation are reviewed, which is of significance to the prevention and treatment of ISR.

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张承圣,谢锐,文飞.下肢动脉粥样硬化闭塞支架术后再狭窄研究进展[J].中国动脉硬化杂志,2018,26(5):525~530.

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  • 收稿日期:2017-09-19
  • 最后修改日期:2017-12-05
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  • 在线发布日期: 2018-05-31