纪东华
大连医科大学附属第一医院 介入治疗科，辽宁 大连 116011

详细信息 作者简介: 纪东华（1974-），男，教授。研究方向：周围血管疾病的腔内治疗。E-mail：nickji@126.com

中图分类号: R654.4


摘要:由于接受膝下动脉腔内治疗的患者多伴有足部的缺血性溃疡，所以此类患者临床治疗终点不仅仅是保肢，更重要的是创面愈合。随着临床研究的深入，医生发现踝下分支的质量对预后有着很大的影响，同时踝下靶血管的准确选择（即能获得缺血创面区域完整的造影染色的分支）对创面愈合至关重要。因此，在膝下动脉重建术中应重点关注踝下分支，并以此优化出最佳临床处理方案。
关键词: 踝下动脉/
腔内治疗/
膝下动脉


Abstract:Ischemic ulceration of the foot is common in patients who underwent infrapopliteal arterial endovascular treatment (EVT). The primary clinical endpoints for those patients are not only limb preservation, but more importantly wound healing. Clinical studies have found that small artery disease and medial arterial calcification scores are powerful prognostic indicators of the clinical fate for the patients who suffer from chronic limb-threatening ischemia. Angiographic wound blush obtainment is the principle for target inframalleolar arteries decision. The presence of wound blush after EVT is associated with a higher wound healing rate. Focusing on the inframalleolar artery, a proposed algorithm for the management of patients with infrapopliteal artery lesions might be recommended.
Keywords:inframalleolar artery/
endovascular treatment/
infrapopliteal artery

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