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The technical success of balloon angioplasty is often subverted by flow-limiting dissections, recoil with early restenosis. This review will explore current guidelines, revascularization anatomical planning, interventional approaches, and possible solutions to avoid the feared dissection, recoil and restenosis that our patients currently face.<\/jats:p>","DOI":"10.1024\/0301-1526\/a001254","type":"journal-article","created":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T07:04:31Z","timestamp":1763449471000},"page":"259-268","source":"Crossref","is-referenced-by-count":4,"title":["Recoil, dissection, and restenosis in Below-The-Knee (BTK) arteries following standard balloon angioplasty"],"prefix":"10.1024","volume":"55","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2647-9876","authenticated-orcid":true,"given":"Michael","family":"Lichtenberg","sequence":"first","affiliation":[{"name":"Vascular Center, Alexianer Klinikum Hochsauerland GmbH, Arnsberg, 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