膝下动脉病变开通技巧及器材选择.pptx

膝下动脉病变开通技巧及器材选择;不重视足部动脉分支的完整性;Rashid H.et al.The impact of arterial pedal arch quality and angiosome revascularization on foot tissue loss healing and infrapopliteal bypass outcome.J vasc surg.2013;57(5):1219-26.;Iida o, et al.Anatomical predictors of major adverse limb events after infrapopliteal angioplasty for patients with critical limb ischaemia due to pure isolated infrapopliteal lesions.Eur J Vasc Endovasc Surg.2012;44(3):318-24.;? ? ? ? ? ? ? ?;经侧枝逆行开通技术;尽量真腔开通，保护足部弓的完整;保证一条胫动脉、同时关注足部灌注;保护??有的侧枝;终点评估;开通术中器械选择;基本建议 -- C 级证据;;个人经验 -- C 级证据;常见术语（导丝、导管）;Ruzsa Z,et al.Transpedal access after failed anterograde recanalization of complex below-the-knee and femoropoliteal occlusions in critical limb ischemia. Catheter Cardiovasc Interv. 2014;83(6):997-1007.