Analysis of endovascular treatment strategies on in-stent restenosis of femoropopliteal artery lesions

VernacularTitle:股腘动脉段病变支架内再狭窄的腔内治疗策略分析
Author: Weiguo FU ¹ ; Jianing YUE
Author Information

1. 200032 上海,复旦大学附属中山医院血管外科
Keywords: Arteriosclerosis obliterans; Graft occlusion,vascular; Femoral artery; Popliteal artery
From: Chinese Journal of Surgery 2016;54(8):586-590
CountryChina
Language:Chinese
Abstract: Over the last few years,the treatment of complex femoropopliteal lesions led to the increasing use of stents in this challenging anatomical area.Whereas in-stent restenosis remains the Achilles' heel of stenting this segment,and leads to recurrent ischemia and repeated interventions.A majority of endovascular techniques have been evaluated to repair this complication,including plain balloon angioplasty,new stent deployment,cutting balloons but without satisfactory mid-and long-term results.More recently debulking and drug-eluting devices have been applied in femoropopliteal in-stent restenosis with promising results.And relining with a stent graft or drug-eluting stent of femoropopliteal in-stent restenosis can be considered in cases of stent fracture as this strategy has showed relatively optimal outcomes.The aim of this article is to analyze the evidence of those endovascular techniques for the treatment of femoropopliteal in-stent restenosis.