It was reported via journal article that 2 stents fractured resulting in in-stent thrombosis and restenosis.The study compared drug-coated balloon (dcb) and bare metal stent (bms) for primary lesions in femoropopliteal artery disease in chinese population and to make subgroup analysis between the groups.Local anesthesia was used in all operations.Arterial access-site selection was left to the discretion of the investigator.After arterial puncture and placement of a 5-7f introducer sheath, an initial dose 01 5000 iu heparin was administered.Intraluminal or subintimal lesion crossing was performed, using standard guide wires and catheters.Pretreatment for target lesions was then performed with balloon angioplasty.According to the diameter of non lesion arteries, balloons with diameters ranging from small to large were used for predilation.Dcb or bms was then used after predilation depending on the decision of chief surgeon.Dcb was kept inflated for at least 180 second and balloon size selection was based on a visual estimate.Two innova stents in the bms group occurred fracture at 2- and 4-months post operation and resulted in in-stent thrombosis and restenosis.Both patients received endovascular thrombectomy and covered stent insertion afterwards.
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Date of event was approximated based on date of study in the article.Initial reporter address 1: xizhimen south street, west district haocheng ma, xuemin zhang, jing li, quingle li, wei li, yang jiao, jingjun jiang, changshun hem, zhibin he, weihao li, tao zhang, and xiaoming zhang, p.R.China.Mid-term efficacy and safety of drug-coated balloon versus nitinol bare metal stent for primary lesions in femoropopliteal artery disease.Ann vasc surg 2022; 81: 316-323.
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