关键词: 血管外科, 腔内治疗, 主动脉夹层, 腹主动脉瘤, 下肢动脉狭窄闭塞, 颈动脉狭窄, 深静脉血栓形成, 药物涂层球囊, 血管支架

Abstract:

Endovascular technique for vascular surgery diseases: Present situation and prospect        SHU Chang*, WANG Tun. *Department of Vascular Surgery, Fuwai Hospital, Chinese Academy of Medical Sciences, Beijing 100037, China
Corresponding author: SHU Chang, E-mail：changshu01@
yahoo.com
Abstract    With the rapid development of endovascular technique in the previous 20 years, most vascular diseases, including aortic dissection, abdominal aortic aneurysm, arteriosclerosis obliterans, carotid artery stenosis and deep venous thrombosis, can be treated with advanced endovascular technique effectively nowadays. Endovascular aortic repair (EVAR) is booming and the first choice for most aortic aneurysm and dissection involving descending aorta and aortic arch. Revascularization techniques, such as chimney technique, fenestration technique and branched stent-graft, are crucial when vital branch is invaded. For chronic limb ischemia, revascularization could be achieved with plenty of techniques, such as cutting balloon and atherectomy, drug-eluted balloon should be used after revascularization and stents should be used prudently to prevent arterial dissection and retraction. With the development of endovascular thrombolysis and venous stent, many patients with deep venous thrombosis could be treated effectively now.

Key words: vascular surgery；endovascular repair；aortic dissection；abdominal aortic aneurysm, arteriosclerosis obliterans of lower extremity； carotid artery stenosis；deep venous thrombosis；drug-eluted balloon；vascular stent