The Endovascular Therapy Using Excimer Laser Atherectomy for Complex Femoropopliteal In-Stent Restenosis Lesions

ELA provided acceptable technical success in current femoropopliteal ISR lesions; however, the long-term result was clinically suboptimal.Clinical ImpactThis retrospective multicenter registry enrolled 166 patients with in-stent restenosis/in-stent occlusion lesions in femoropopliteal arteries treated with endovascular therapy using excimer laser atherectomy. The technical success rate was acceptable at 83.7%; however, 1-year estimate of freedom from restenosis was clinically suboptimal at 67.6%. The multivariate analysis showed incomplete antegrade blood flow and dialysis-dependent chronic renal failure were independently associated with re-restenosis risk.

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Publication Details

Journal
Journal of Endovascular Therapy
Published
2025-08-20
DOI
https://doi.org/10.1177/15266028251363466
Primary Topic
Peripheral Artery Disease Management
Type
article
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article

The Endovascular Therapy Using Excimer Laser Atherectomy for Complex Femoropopliteal In-Stent Restenosis Lesions

Tomoko Kobayashi, Osamu Iida, Takuya Haraguchi, Shin Okamoto et al.
Journal of Endovascular Therapy
Peripheral Artery Disease Management
article

The Endovascular Therapy Using Excimer Laser Atherectomy for Complex Femoropopliteal In-Stent Restenosis Lesions

Tomoko Kobayashi, Osamu Iida, Takuya Haraguchi, Shin Okamoto, Naoki Yoshioka, Nobuhito Kaneko, Kuniyasu Ikeoka, Takiuchi Shin, Mitsuyoshi Takahara, Kuniyoshi Fukai, Yoshiaki Shintani, Kazunori Horie, Kenji Suzuki, Yuki Shima, Norio Tada, Kenji Ogata, Masahiro Iiya
article en

Abstract

ELA provided acceptable technical success in current femoropopliteal ISR lesions; however, the long-term result was clinically suboptimal.Clinical ImpactThis retrospective multicenter registry enrolled 166 patients with in-stent restenosis/in-stent occlusion lesions in femoropopliteal arteries treated with endovascular therapy using excimer laser atherectomy. The technical success rate was acceptable at 83.7%; however, 1-year estimate of freedom from restenosis was clinically suboptimal at 67.6%. The multivariate analysis showed incomplete antegrade blood flow and dialysis-dependent chronic renal failure were independently associated with re-restenosis risk.

Journal of Endovascular Therapy
Limbe Provincial Hospital (CM), Japan Medical Association (JP), Kurashiki Central Hospital (JP), Osaka National Hospital (JP), Hiratsuka Kyosai Hospital (JP), Sapporo Science Center (JP), Osaka Ekisaikai Hospital (JP), Kansai Rosai Hospital (JP), Higashi Takarazuka Satoh Hospital (JP), Ogaki Municipal Hospital (JP), Saiseikai Central Hospital (JP), Kyoto Katsura Hospital (JP), Hakodate Central General Hospital (JP), Sendai Kousei Hospital (JP), The University of Osaka (JP)
Openalex Percentile: Top 65%
Peripheral Artery Disease Management
DOISourceOpenAlex
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