renal angioplasty in case of ISR
Nice case with good initial result. In order to avoid another layer of metal (stent in stent) I should consider a simple PTA with DEB then, in case of ISR, procceed as you did.
A DES should be useful but as you described, the diameter of this vessel doesn't allow to consider it.
Refering to indications for renal angioplasty I think that real world practice is far away from guide lines as guide lines are far away from daily practice. Many times "lone" > 70% lesions are treated without considering clinical issues and actual indications.
This discussion was posted in the following case study:
Sebastian Coscarelli Mezzano, MD
Interventional Cardiology
Posted 2 months ago
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