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Volume 355:521-524 August 3, 2006 Number 5
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Balloon Angioplasty or Nitinol Stents for Peripheral-Artery Disease

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 by Hirsch, A. T.
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 by Schillinger, M.
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To the Editor: Schillinger et al. (May 4 issue)1 demonstrated the superiority of primary stenting with nitinol stents, as compared with balloon angioplasty, in patients with peripheral-artery disease. However, the findings raise an issue with regard to the treatment of restenosis. Endovascular treatment usually represents the second treatment option, after medical therapy and before final surgical revascularization. Restenosis of the target vessel after balloon angioplasty can be treated initially with repeated balloon angioplasty and, in subsequent recurrences, with stenting. In the meantime, the patient has months or years of freedom from symptoms without being treated with stents. In contrast, the . . . [Full Text of this Article]




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