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R. M. Bauersachs

Stenting of the femoral artery: the angiologist's perspective

The percutaneous transluminal angioplasty of stenosis and short occlusions of the femoral artery is a well established, safe and effective treatment option. The additional placement of stents during angioplasty is associated with frequent and rapid restenosis due to intimal hyperplasia. Therefore, stent placement of the femoral artery is commonly recommended only for special circumstances, including PTA-induced dissection of the vessel wall, elastic recoil, and excentric stenosis. Placement of stents near joints, e. g. in the common femoral artery or the popliteal artery should be avoided as it may lead to structural damage of the stents. The current angiological statement concerning stent implantation in the femoral artery may be revised if effective measures to inhibit intimal hyperplasia such as brachy therapy or sirolimus coated stents become available.

Hämostaseologie, Schattauer

Print ISSN: 0720-9355
Volume: 23, 01/2003
Pages: 71 - 73

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