Post-angioplasty and In-stent Restenosis

  • Piotr SobieszczykEmail author


Restenosis is the Achilles’ heel of endovascular therapy for peripheral artery disease. Long-term care of patients following arterial interventions must include aggressive modification of cardiovascular risk factors and surveillance of all arterial beds. Intervention-specific surveillance should include clinical, physiologic, and anatomic evaluation using physical examination, vascular testing, and arterial ultrasound. Detection of restenosis is not a stand-alone indication for re-intervention because there is no single pharmacologic or invasive therapy that treats restenosis in an effective and durable manner. The decision to re-intervene must be patient-specific. There is wide gap between the clinical management strategies for restenosis and evidence-based medicine.


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© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Harvard Medical School, Cardiovascular Division, Vascular Medicine SectionBrigham and Women’s HospitalBostonUSA

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