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Int J Angiol 2013; 22(01): 001-008
DOI: 10.1055/s-0032-1331840
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

An Overview of Optimal Endovascular Strategy in Treating the Femoropopliteal Artery: Mechanical, Biological, and Procedural Factors

Nicolas W. Shammas
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Publication History

Publication Date:
28 January 2013 (online)

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Abstract

Treatment of the femoropopliteal (FP) artery remains a challenge to the endovascular specialist. Long-term patency is low with a high rate of target lesion revascularization. The true patency rate varies considerably between studies partly because there is a lack of uniform performance criteria and reporting standards in peripheral arterial interventions. Literature review supports three principles that emerge as important components of an optimal strategy in treating the FP artery: (1) improving vessel compliance and subsequently less dissections and bailout stenting, (2) reducing smooth muscle cell proliferation, and (3) protecting outflow vessels from distal embolization. In this overview, we examine current data that support the validity of this strategy.

Keywords

femoropopliteal artery - restenosis - atherectomy - drug-coated balloon - in-stent restenosis - distal embolization - tibial runoff
 

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