Korean Circ J.  2018 Mar;48(3):191-197. 10.4070/kcj.2018.0074.

Treatment of Femoropopliteal Artery In-stent Restenosis

• Kim W
• Choi D

• KMID: 2406922
• DOI: http://doi.org/10.4070/kcj.2018.0074

Abstract

Femoropopliteal (FP) artery-in stent restenosis (ISR) is a daunting management problem that we continue to face. FP artery-ISR rates after primary stent implantation are relatively high. Although repeat FP artery-ISR and the need for additional interventions remain all too common, little consensus exists regarding the best treatment algorithm. In this article, we review the limitations of the currently used devices for the endovascular treatment of FP artery-ISR and discuss which strategies are the most effective and safe.

Keyword

Peripheral artery disease

MeSH Terms

Arteries*
Consensus
Peripheral Arterial Disease
Stents

Figure

• 

  Figure 1 Freedom from TLR at one year in patients with FP artery-ISR. DEBATE-ISR = Drug-Eluting Balloon in peripherAl inTErvention for In-Stent Restenosis; FAIR = Femoral Artery In-Stent Restenosis; FP = femoropopliteal; ISR = in stent restenosis; TLR = target lesion revascularization.

• 

  Figure 2 Combination of mechanical atherectomy and DEB angioplasty for FP artery-ISR. (A) Stented fully occluded distal to mid superficial femoral artery. (B) Two passes blades-down, 2 passes blades-up with JetStream atherectomy device. (C) Follow-up angiogram showing residual stenoses. (D) Blood flow fully restored after DEB angioplasty. DEB = drug-eluting balloon; FP = femoropopliteal; ISR = in stent restenosis.

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