Balloon Angioplasty and Drug Eluting Stenting for Treatment of Peripheral Arterial Occlusive Disease

Abstract

Peripheral arterial disease is one of the manifestations of systemic atherosclerosis. In the last decade, remarkable technological advances, especially in the stent area, have shifted revascularization strategies from traditional open surgical approaches toward less morbide percutaneous endovascular treatments. However, even with new designed nitinol bare stents, restenosis remains as the major obstacle of this procedures. More recently, drug eluting stent platforms have been used to treat atherosclerotic peripheral arterial disease. In this article, we reviewed new studies relevant to drug eluting stents for lower extremity peripheral arterial occlusive disease.

Keywords

• Peripheral arterial disease, angioplasty, stent, Drug eluting stent

T›kay›c› Periferik Arter Hastal›¤›nda ‹laç Sal›n›ml› Balon ve Stentler

Abstract

Periferik arter hastal›¤› sistemik aterosklerozun klinik tablolar›ndan biridir. Son on y›lda, özellikle stent alan›ndaki teknolojik geliflmeler, periferik arter hastal›¤› tedavisi için aç›k cerrahi prosedürler yerine, morbidite oran› düflük perkütan endovasküler tedavinin tercih edilmesine neden olmufltur. Bununla birlikte restenoz, yeni dizayn edilmifl ç›plak nitinol stentlerde bile majör engel oluflturmaya devam etmektedir. Son y›llarda ilaç kapl› stentler periferik arter hastal›klar›n›n tedavisinde kullan›lmaya bafllanm›flt›r. Bu yaz›da, yak›n zamanda, alt ekstremite periferik arter hastal›¤›n›n tedavisinde ilaç kapl› stentlerle yap›lm›fl çal›flmalar› ve sonuçlar›n› inceledik.

Keywords

• Periferik arter hastal›¤›, anjiyoplasti, stent, ilaç sal›n›ml› stent

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