Catch Up with the Latest Trend in Vascular Intervention-Chronic Limb-threatening Ischemia Up to Date.

Taira Kobayashi
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Abstract

Endovascular treatment for patients with lower extremity artery disease is conducted worldwide due to its efficacy. Many studies have shown durability for patients with intermittent claudication, and various guidelines have shifted to the use of endovascular treatment. However, clinical outcomes in patients with chronic limb-threatening ischemia who undergo endovascular treatment have not been fully investigated. Generally, chronic limb-threatening ischemia cases have complex lesions such as small vessels, severe calcification, poor runoff vessels, chronic total occlusion, and long lesions, which result in poor outcomes. Thus, endovascular treatment for chronic limb-threatening ischemia cases remains challenging, despite the many technical and device advances. In 2019, the Global Vascular Guidelines were proposed for the treatment of patients with chronic limb-threatening ischemia. Here, we review previous guidelines and reports of patients with lower extremity artery disease who underwent endovascular treatment.

跟上血管干预的最新趋势——慢性肢体缺血的最新进展。
下肢动脉疾病的血管内治疗因其疗效而在世界范围内广泛应用。许多研究表明间歇性跛行患者的持久性,各种指南已转向使用血管内治疗。然而,慢性肢体缺血患者接受血管内治疗的临床结果尚未得到充分研究。慢性肢体缺血患者病变复杂,血管小、钙化严重、径流血管差、慢性全闭塞、病变长,预后较差。因此,尽管有许多技术和设备的进步,血管内治疗慢性肢体缺血病例仍然具有挑战性。2019年,全球血管指南被提出用于治疗慢性肢体缺血患者。在此,我们回顾以前的指南和报道的患者下肢动脉疾病接受血管内治疗。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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