日本インターベンショナルラジオロジー学会雑誌
Online ISSN : 2185-6451
Print ISSN : 1340-4520
ISSN-L : 1340-4520
閉塞性動脈硬化症のIVR up-to-date
重症下肢虚血肢に対する血管内治療とwound healingの重要な役割
小林 範弘平野 敬典
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2016 年 31 巻 4 号 p. 308-314

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Critical limb ischemia (CLI) is the most advanced stage of peripheral vascular disease, and endovascular therapy (EVT) for CLI is challenging. However, numerous CLI patients have a severe background and no distal artery to connect the bypass, and so EVT is an important strategy of revascularization for CLI. The final goal of the treatment of CLI is not obtaining long-term treated vessel patency but achieving wound healing and improvement of quality of life. Although wound healing is an essential endpoint, it has not been so stressed as other endpoints such as amputation free survival, limb salvage, and major adverse limb events. In this article, we discuss actual EVT treatment for CLI in daily practice and the important role of wound healing to improve patients’ clinical outcomes.

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