Subintimal angioplasty: to stent or not to stent?
The favored technique of peripheral subintimal angioplasty is to stent the subintimal channel, which usually requires long stents. However, there are no randomized trials comparing subintimal angioplasty with and without stenting. Our hypothesis is that after subintimal angioplasty, a newly created conduit should not be stented and stenting should only be reserved for bailout. Subintimal angioplasty is an effective and safe revascularization technique for patients with symptomatic claudication and critical limb ischemia. As the number of peripheral intervention procedures increases, experience with this technique has improved. The time has come for a randomized trial of subintimal angioplasty with and without stenting.
Hameed
Aamir
A
Oklahoma Cardiovascular Associates, 4221 S. Western Suite 4000, Oklahoma City, OK, 73109, USA. aamirhameed@pol.net
Gluege
Shelley
S
Reinhart
Richard
R
D000368:Aged; D000800:Angioplasty, Balloon / Q000295:instrumentation / Q000379:methods*; D001026:Coronary Artery Bypass; D003324:Coronary Artery Disease / Q000503:physiopathology / Q000601:surgery; D003331:Coronary Vessels / Q000503:physiopathology / Q000601:surgery; D005260:Female; D005263:Femoral Artery / Q000503:physiopathology; D006801:Humans; D007083:Iliac Artery / Q000503:physiopathology; D016491:Peripheral Vascular Diseases / Q000503:physiopathology / Q000628:therapy*; D012039:Regional Blood Flow / Q000502:physiology; D015607:Stents