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Restenosis can occur over months to years, so surveillance is needed.","revision_rate_pct":{"min":10,"max":25,"unit":"percent","qualifier":"Clinically driven repeat revascularization of treated lesion within 12 months; varies by vessel and lesion length."},"scars":"No visible scar; a tiny puncture mark at the groin, wrist or foot access site.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single endovascular procedure for a focal lesion."},"stages":[{"code":"angioplasty_stenting","label":"Balloon angioplasty with stent placement if needed","after":{"min":0,"max":0,"unit":"days","qualifier":"Same session as diagnostic angiography."}}],"qualifier":"Multilevel disease may need staged treatment."},"success":{"metric":"Primary patency of treated iliac or femoropopliteal artery","value":80,"unit":"percent","horizon":"12 months","population":"Adults with claudication and focal iliac or femoropopliteal lesions","evidence_status":"limited"},"techniques":[{"name":"Plain balloon angioplasty (PTA)","suits_whom":"Short focal lesions and small vessels, such as below-knee arteries.","recovery":"Same-day or overnight; walking next day."},{"name":"Drug-coated balloon angioplasty","suits_whom":"Femoropopliteal lesions at risk of restenosis.","recovery":"Similar to standard PTA."},{"name":"Bare-metal or self-expanding stent","suits_whom":"Iliac or femoral lesions with recoil, dissection or suboptimal balloon result.","recovery":"Similar; dual antiplatelet therapy for a period."},{"name":"Drug-eluting or covered stent","suits_whom":"Longer femoropopliteal lesions or iliac occlusive disease.","recovery":"Similar; longer antiplatelet therapy."}],"treatment_conditions":["day_case","inpatient"],"treatment_duration_hours":{"min":0.5,"max":2,"unit":"hours","qualifier":"Procedure time depends on lesion complexity and number of segments."},"initial_assessment_documents":["Lower limb CT or MR angiography report","Duplex ultrasound report","Ankle-brachial index results","Recent kidney function blood test","List of blood thinners and antiplatelets","Previous vascular procedure reports (if available)"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single endovascular procedure; stay 2-5 days for pre-checks, treatment and access-site review before flying."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Confirm the surgeon is trained and experienced in the exact procedure you are considering, not just in surgery generally","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Verify that the surgeon is trained and experienced in performing the procedure you are considering.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C2","text":"Ask for certification information and the name of the body that certified the surgical setting","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Ask for certification information and the name of the certifying body when assessing a surgical setting.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C3","text":"Check that the surgeon who consults with you is the same person who will carry out the procedure","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Check that the surgeon you consult with, will be the same person carrying out the procedure.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C4","text":"Ask whether a doctor is always present in the clinic and whether a high dependency or intensive care unit exists","scope":"treatment_abroad","source":{"url":"https://www.bapras.org.uk/public/patient-information/cosmetic-surgery/cosmetic-surgery-abroad","host":"bapras.org.uk","quote":"Is there always a doctor in the clinic and is there a high dependency or intensive care unit?","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C5","text":"Ask whether the surgeon and the facility use a surgical safety checklist, which can reduce complications","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Do the surgeon and his/her facility use a safety checklist?","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"An advert or information that guarantees complete success should raise concerns","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Any advert or information that guarantees complete success should raise concerns.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F2","text":"Forceful persuasion or cheap, time-limited offers pushing you into a quick decision","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Don’t be pressured into quick decisions either through forceful persuasion or cheap, time limited offers.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F3","text":"A price that sounds too good to be true probably is","scope":"treatment_abroad","source":{"url":"https://www.plasticsurgery.org/news/articles/will-economic-uncertainty-drive-more-patients-overseas-for-plastic-surgery-what-to-consider-and-how-to-stretch-your-dollar-back-home","host":"plasticsurgery.org","quote":"If the price sounds too good to be true, it probably is.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Bleeding from the wound that does not stop","urgency":"emergency","general":false,"source":{"url":"https://www.nhs.uk/tests-and-treatments/coronary-angioplasty/recovery/","host":"nhs.uk","quote":"any bleeding from your wound that doesn't stop or restarts after applying pressure for 10 minutes","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W2","text":"Increasing pain and swelling around the wound","urgency":"contact_clinic","general":false,"source":{"url":"https://www.nhs.uk/tests-and-treatments/coronary-angioplasty/recovery/","host":"nhs.uk","quote":"increasing pain and swelling around your wound a high temperature","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W3","text":"Discolored, cold, or numb limb","urgency":"emergency","general":false,"source":{"url":"https://www.nhs.uk/tests-and-treatments/coronary-angioplasty/recovery/","host":"nhs.uk","quote":"discolouration, coldness or numbness in the leg or arm where the incision was made","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W4","text":"A high temperature","urgency":"contact_clinic","general":true,"source":{"url":"https://www.nhs.uk/tests-and-treatments/coronary-angioplasty/recovery/","host":"nhs.uk","quote":"increasing pain and swelling around your wound a high temperature","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Home doctor can check the warning signs to watch for","document":"warning signs letter","source":{"url":"https://www.nhs.uk/tests-and-treatments/coronary-angioplasty/recovery/","host":"nhs.uk","quote":"You should be given a letter when you leave hospital of things to look out for.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"T2","text":"Home doctor needs the medicines and recovery advice given at discharge","document":"medicine and aftercare advice","source":{"url":"https://www.nhs.uk/tests-and-treatments/coronary-angioplasty/recovery/","host":"nhs.uk","quote":"any medication you need to take improving your diet and lifestyle wound care and hygiene advice during your recovery","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"T3","text":"Home doctor can see when the follow-up check is due","document":"follow-up appointment date","source":{"url":"https://www.nhs.uk/tests-and-treatments/coronary-angioplasty/recovery/","host":"nhs.uk","quote":"You may also be given a date for a follow-up appointment to check on your progress.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"T4","text":"Ask for written details of the procedure before you leave the hospital","document":"written procedure details","source":{"url":"https://rcseng.ac.uk/patient-care/cosmetic-surgery/after-surgery/","host":"rcseng.ac.uk","quote":"After your surgery, before you leave the hospital, ask for written information about the procedure you've had.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T5","text":"Home doctor needs the clinic's follow-up recommendations in a written discharge 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