Occlusive SFA ISR: intraluminal strategy and debulking techniques

In this PVI 2025 interview, Dr Juliette Raffort-Lareyre speaks with Dr Gilles Goyault about the management of superficial femoral artery (SFA) occlusive in-stent restenosis. 

The interventional radiologist highlights the limited level of evidence in this challenging setting and emphasizes that treatment remains largely driven by operator strategy, particularly in occlusive SFA disease where maintaining intraluminal access is critical. 

He underlines the importance of achieving true lumen re-entry and using rotational atherectomy or other debulking techniques to restore flow before definitive treatment with drug-coated balloon angioplasty or additional stenting. 

The discussion also raises key unanswered questions regarding patient selection and the need for stronger clinical data to better define optimal strategies in this complex scenario. Watch the interview to explore strategies and uncertainties in occlusive SFA ISR

Watch the interview to explore strategies and uncertainties in occlusive SFA ISR