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Possible effect of direct oral anti-coagulant for preventing long stenting lesion from in-stent restenosis in femoropopliteal segment: Case report with angioscopy findings

A 64-year-old female underwent a successful first percutaneous intervention using MISAGO stents for a de novo femoropopliteal lesion. Subsequently, three more effective procedures were done using balloon catheters for in-stent restenosis. In May 2016, a fourth procedure using Zilver PTX stent for in...

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Autores principales: Tsuchiya, Taketsugu, Akita, Satori, Oda, Minako, Takamura, Takaaki, Kitagawa, Katsuhide, Kajinami, Koji, Kitayama, Michihiko
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7383611/
https://www.ncbi.nlm.nih.gov/pubmed/32782802
http://dx.doi.org/10.1177/2050313X20945535
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author Tsuchiya, Taketsugu
Akita, Satori
Oda, Minako
Takamura, Takaaki
Kitagawa, Katsuhide
Kajinami, Koji
Kitayama, Michihiko
author_facet Tsuchiya, Taketsugu
Akita, Satori
Oda, Minako
Takamura, Takaaki
Kitagawa, Katsuhide
Kajinami, Koji
Kitayama, Michihiko
author_sort Tsuchiya, Taketsugu
collection PubMed
description A 64-year-old female underwent a successful first percutaneous intervention using MISAGO stents for a de novo femoropopliteal lesion. Subsequently, three more effective procedures were done using balloon catheters for in-stent restenosis. In May 2016, a fourth procedure using Zilver PTX stent for in-stent restenosis was carried out. For this final procedure, we added direct oral anti-coagulant as she had additional problem of popliteal vein thrombosis and her femoropopliteal segment remained clear. A Zilver PTX stent, a drug-eluting stent for a peripheral artery, was expected to bring superior outcomes compared to conventional bare nitinol stents (i.e. MISAGO stent). But subsequent studies reported that Zilver PTX stent was not more effective than conventional bare nitinol stents. In our above mentioned case, her angioscopy findings suggest that her successful outcome appears to be related to the added direct oral anti-coagulant.
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spelling pubmed-73836112020-08-10 Possible effect of direct oral anti-coagulant for preventing long stenting lesion from in-stent restenosis in femoropopliteal segment: Case report with angioscopy findings Tsuchiya, Taketsugu Akita, Satori Oda, Minako Takamura, Takaaki Kitagawa, Katsuhide Kajinami, Koji Kitayama, Michihiko SAGE Open Med Case Rep Case Report A 64-year-old female underwent a successful first percutaneous intervention using MISAGO stents for a de novo femoropopliteal lesion. Subsequently, three more effective procedures were done using balloon catheters for in-stent restenosis. In May 2016, a fourth procedure using Zilver PTX stent for in-stent restenosis was carried out. For this final procedure, we added direct oral anti-coagulant as she had additional problem of popliteal vein thrombosis and her femoropopliteal segment remained clear. A Zilver PTX stent, a drug-eluting stent for a peripheral artery, was expected to bring superior outcomes compared to conventional bare nitinol stents (i.e. MISAGO stent). But subsequent studies reported that Zilver PTX stent was not more effective than conventional bare nitinol stents. In our above mentioned case, her angioscopy findings suggest that her successful outcome appears to be related to the added direct oral anti-coagulant. SAGE Publications 2020-07-23 /pmc/articles/PMC7383611/ /pubmed/32782802 http://dx.doi.org/10.1177/2050313X20945535 Text en © The Author(s) 2020 https://creativecommons.org/licenses/by-nc/4.0/ This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Case Report
Tsuchiya, Taketsugu
Akita, Satori
Oda, Minako
Takamura, Takaaki
Kitagawa, Katsuhide
Kajinami, Koji
Kitayama, Michihiko
Possible effect of direct oral anti-coagulant for preventing long stenting lesion from in-stent restenosis in femoropopliteal segment: Case report with angioscopy findings
title Possible effect of direct oral anti-coagulant for preventing long stenting lesion from in-stent restenosis in femoropopliteal segment: Case report with angioscopy findings
title_full Possible effect of direct oral anti-coagulant for preventing long stenting lesion from in-stent restenosis in femoropopliteal segment: Case report with angioscopy findings
title_fullStr Possible effect of direct oral anti-coagulant for preventing long stenting lesion from in-stent restenosis in femoropopliteal segment: Case report with angioscopy findings
title_full_unstemmed Possible effect of direct oral anti-coagulant for preventing long stenting lesion from in-stent restenosis in femoropopliteal segment: Case report with angioscopy findings
title_short Possible effect of direct oral anti-coagulant for preventing long stenting lesion from in-stent restenosis in femoropopliteal segment: Case report with angioscopy findings
title_sort possible effect of direct oral anti-coagulant for preventing long stenting lesion from in-stent restenosis in femoropopliteal segment: case report with angioscopy findings
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7383611/
https://www.ncbi.nlm.nih.gov/pubmed/32782802
http://dx.doi.org/10.1177/2050313X20945535
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