In-stent restenosis of superficial femoral artery: use all arrows in the quiver.
Oxf Med Case Reports
; 2022(10): omac108, 2022 Oct.
Article
em En
| MEDLINE
| ID: mdl-36299675
ABSTRACT
In-stent restenosis (ISR) is a common superficial femoral artery (SFA) stenting complication, occurring in more than one third of patients within 2-3 years after the index procedure. Moreover, there is no standard treatment for ISR, and although many options are available, there is still limited data regarding its optimal management. We report a paradigmatic case report of a patient complaining of symptomatic peripheral arterial disease, underwent multiple endovascular revascularizations for recurrent femoro-popliteal ISR. A step-by-step approach was followed. At the time of the first presentation, the ISR was treated by drug-eluting balloon (DEB) angioplasty. The repeated ISR was treated by laser debulking, achieving a good angiographic result. Finally, after the third repeated restenosis, a combined approach with laser debulking and DEB angioplasty guaranteed a good acute angiographic result. Long-term duplex-scan follow-up demonstrated the good patency of the femoro-popliteal target lesion.
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Base de dados:
MEDLINE
Idioma:
En
Revista:
Oxf Med Case Reports
Ano de publicação:
2022
Tipo de documento:
Article
País de afiliação:
Itália