title: Endovascular treatment of in-stent occlusion: new technique for recanalization of long superficial femoral artery occlusion (direct stent puncture technique).
abstract: In-stent reocclusion is a frequent complication of endovascular treatment and stenting, especially in the superficial femoral artery. Neointimal hyperplasia is the main cause of this problem, but in many cases, it occurs as a result of the presence of stent strut fractures. The two treatment options are endovascular and surgical intervention. The effectiveness of endovascular interventions in patients with critical limb ischemia has been well established, but in some cases, crossing the occluded stent is difficult. We describe a new technique to recanalize long in-stent superficial femoral artery occlusions characterized by direct stent puncture, followed by retrograde-antegrade recanalization after antegrade failures.
authors: Interventional Radiology Unit, Policlinico Abano Terme, Piazza C. Colombo 1, 35031 Abano Terme, PD, Italy. marianopalena@hotmail.com
authors: Luis Mariano
authors: LM
authors: Palena
authors: Giacomo
authors: G
authors: Cester
authors: Marco
authors: M
authors: Manzi
mesh_terms: D000368:Aged; D001157:Arterial Occlusive Diseases / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D057510:Endovascular Procedures / Q000379:methods*; D005263:Femoral Artery / Q000000981:diagnostic imaging / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D058426:Neointima / Q000209:etiology / Q000601:surgery; D011150:Popliteal Artery / Q000000981:diagnostic imaging; D011859:Radiography; D015607:Stents / Q000009:adverse effects*; D016896:Treatment Outcome; D014463:Ultrasonography; D014654:Vascular Patency