Bildirici Ibrahim Halil Ulas, Acar Burak, Karauzum Kurtulus, Torun Akın
Department of Cardiology, Faculty of Medicine, Kocaeli University, Kocaeli, Turkey.
Department of Cardiology, Faculty of Medicine, Kocaeli University, Kocaeli, Turkey.
Cardiovasc Revasc Med. 2019 Nov;20(11S):39-41. doi: 10.1016/j.carrev.2019.07.026. Epub 2019 Jul 26.
In-stent restenosis (ISR) is a frequent complication of endovascular stents implantation, especially in the superficial femoral artery (SFA). Beyond the standard interventions, direct stent puncture (DSP) to the totally occluded SFA increases the success rate of the endovascular procedures. Multiple attempts are required to treat total occlusions most of time. DSP useful and safe technique and provide good angiographic results. Beside the classical DSP, in this case we discussed recanalization of totally occluded stent of superficial femoral artery with bidirectional stent puncture.
支架内再狭窄（ISR）是血管内支架植入术后常见的并发症，尤其是在股浅动脉（SFA）。除了标准干预措施外，对完全闭塞的SFA进行直接支架穿刺（DSP）可提高血管内手术的成功率。大多数情况下，治疗完全闭塞需要多次尝试。DSP是一种有用且安全的技术，能提供良好的血管造影结果。除了经典的DSP，在这种情况下，我们讨论了用双向支架穿刺对股浅动脉完全闭塞支架进行再通。
