用于下肢外周动脉疾病的药物排泄装置
Yann Gouëffic1, Marianne Brodmann2, Koen Deloose3
1Service de chirurgie vasculaire et endovasculaire, Groupe Hospitalier Paris St Joseph, Paris, France.
概括
周围动脉疾病会影响行走和肢体的生存. 药物涂层的设备改善了对股骨和膝下动脉的内血管治疗,减少了静脉缩.
科学领域:
- 血管外科 血管外科
- 干预心脏病学 干预心脏病学
- 医疗器械技术 医疗器械技术
背景情况:
- 周围动脉疾病 (PAD) 是心血管疾病的主要原因,影响行走能力和四肢活力.
- 影响股骨和膝下段的内动脉疾病通常用内血管方法治疗.
- 静脉复原仍然是下肢动脉内血管再血管化的挑战.
研究的目的:
- 审查药物涂层器件在股骨和膝下动脉段的安全性和有效性.
- 提供关于用于PAD治疗的药物释放支架和药物涂层气球的当前证据的概述.
- 评估药物涂层技术在改善下肢再血管化的内血管结果中的作用.
主要方法:
- 对外围动脉疾病的药物涂层器件现有文献的叙述性综述.
- 对药物释放支架和涂药气球的安全性和有效性数据的分析.
- 专注于涉及股骨和膝下动脉干预的研究.
主要成果:
- 药物涂层的设备显示出减轻股骨和膝下PAD的缩的潜力.
- 有证据支持基于已确定的安全性和有效性概况的这些设备的使用.
- 结果取决于特定的动脉段和设备应用.
结论:
- 药物涂层设备是下肢PAD的内血管治疗中宝贵的辅助剂.
- 它们在股骨和膝下段的应用增强了重血管化结果.
- 持续评估安全性和疗效对于PAD患者的最佳治疗至关重要.
相关概念视频
Arteries of Lower Limbs
1.3K
The external iliac artery transitions out of the body cavity, entering the femoral region of the lower leg, and is renamed the femoral artery at the point where it traverses the body wall. This artery is responsible for the distribution of blood to the thigh's deep muscles and the skin's ventral and lateral regions, achieved through several minor branches and the lateral deep femoral artery, which also spawns a lateral circumflex artery. The knee area receives blood from the genicular...
1.3K
Treatment for Pulmonary Arterial Hypertension: Phosphodiesterase Inhibitors
136
Phosphodiesterase 5 (PDE5) inhibitors are potent enzymes that function to hydrolyze cyclic nucleotides to their corresponding 5' monophosphates. Their unique biochemical properties have been applied in treating Pulmonary Arterial Hypertension (PAH).
Among the PDE5 inhibitors, sildenafil (Revatio) stands out as a competitive and selective inhibitor. It operates by elevating cellular levels of cGMP and augmenting signaling through the cGMP-PKG pathway, promoting vasodilation. Upon oral...
Among the PDE5 inhibitors, sildenafil (Revatio) stands out as a competitive and selective inhibitor. It operates by elevating cellular levels of cGMP and augmenting signaling through the cGMP-PKG pathway, promoting vasodilation. Upon oral...
136
Treatment for Pulmonary Arterial Hypertension: Endothelin Receptor Antagonists
141
Endothelins (ETs) are potent vasoactive peptides critical in the human body's various physiological and pathological processes. One of the most promising therapeutic strategies for treating pulmonary arterial hypertension (PAH) involves counteracting the effects of these endothelins using a class of drugs known as endothelin receptor antagonists.
ETs are synthesized through a complex sequence of enzymatic steps, primarily involving an enzyme referred to as endothelin-converting enzyme...
ETs are synthesized through a complex sequence of enzymatic steps, primarily involving an enzyme referred to as endothelin-converting enzyme...
141
Treatment for Pulmonary Arterial Hypertension: Prostacyclin Receptor Agonists
160
Prostacyclin receptor agonists are a class of therapeutic agents integral to managing pulmonary arterial hypertension (PAH). These drugs operate by mimicking the action of prostaglandin I2, or PGI2, a naturally occurring compound in the body.
These agonists bind to the IPR receptor situated on the plasma membrane of the pulmonary artery smooth muscle cells. This binding triggers a cascade of reactions known as the GS-AC-cAMP-PKA pathway. This pathway results in the relaxation of smooth muscle...
These agonists bind to the IPR receptor situated on the plasma membrane of the pulmonary artery smooth muscle cells. This binding triggers a cascade of reactions known as the GS-AC-cAMP-PKA pathway. This pathway results in the relaxation of smooth muscle...
160
Pulse Assessment Sites
985
Pulse assessment sites are crucial in evaluating a patient's cardiovascular health. By assessing the pulsations of arteries at specific anatomical locations, healthcare professionals can gather valuable information about blood flow, heart rate, and peripheral circulation. Understanding these pulse assessment sites is essential for conducting comprehensive cardiovascular evaluations and monitoring patients' overall health. These sites are strategically chosen due to the accessibility and...
985
Veins of Lower Limbs
693
The human body consists of an intricate network of veins responsible for the crucial task of blood drainage from the lower limbs. These veins can be categorized into two main types: deep veins and superficial veins.
Formed by the union of the medial and lateral plantar veins, the posterior tibial vein, rising through the calf muscle, assimilates the fibular vein. The anterior tibial vein, a superior extension of the foot's dorsalis pedis vein, merges with the posterior tibial vein at the...
Formed by the union of the medial and lateral plantar veins, the posterior tibial vein, rising through the calf muscle, assimilates the fibular vein. The anterior tibial vein, a superior extension of the foot's dorsalis pedis vein, merges with the posterior tibial vein at the...
693


