Duterloo Dirk, Lohle Paul N M, Lampmann Leo E H
Department of Radiology, St. Elisabeth Hospital Tilburg, Hilvarenbeekseweg 60, 5022GC Tilburg, The Netherlands.
Cardiovasc Intervent Radiol. 2007 May-Jun;30(3):474-6. doi: 10.1007/s00270-006-0032-9.
In-stent re-stenosis is a frequent complication of endovascular stents, especially in the superficial femoral artery (SFA). Endovascular re-intervention of in- or peri-stent occlusive disease consists of recanilization through the occluded stent. In our case report, we describe the endovascular treatment of a previously placed stent in the SFA. We unintentionally passed the affected stent subintimally, in a double barrel fashion next to the first stent. The procedure was without any complications and with a successfull angiographic result. At one year follow-up the patient still has no complaints and the stent is still patent.
支架内再狭窄是血管内支架常见的并发症，尤其是在股浅动脉（SFA）。血管内对支架内或支架周围闭塞性疾病进行再次干预包括通过闭塞的支架进行再通。在我们的病例报告中，我们描述了对先前放置在股浅动脉的支架进行血管内治疗的情况。我们意外地以双筒方式在第一个支架旁边经内膜下穿过了受影响的支架。该手术没有任何并发症，血管造影结果成功。在一年的随访中，患者仍然没有不适，支架仍然保持通畅。
