Background: The aim of this study was to compare 1-year outcomes for patients with femoropopliteal in-stent restenosis using directional atherectomy guided by intravascular ultrasound (IVUS) versus directional atherectomy guided by angiography.
Methods And Results: This was a retrospective analysis for patients with femoropopliteal in-stent restenosis treated with IVUS-guided directional atherectomy versus directional atherectomy guided by angiography from a single center between March 2012 and February 2016. Clinically driven target lesion revascularization was the primary endpoint and was evaluated through medical chart review as well as phone call follow up.
Conclusions: Directional atherectomy guided by IVUS reduces clinically driven target lesion revascularization for patients with femoropopliteal in-stent restenosis.
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http://dx.doi.org/10.1177/1753944717745509 | DOI Listing |
The broad spectrum of clinical manifestations caused by peripheral arterial disease [PAD] and the morphologic heterogeneity of associated atherosclerotic lesions present a considerable management challenge. Endovascular interventions are recognized an effective treatment for PAD. Within this revascularization strategy the role of atherectomy debulking modalities continue to evolve.
View Article and Find Full Text PDFVascular
December 2024
Department of Cardiology, Hiratsuka Kyosai Hospital, Hiratsuka, Japan.
Objectives: Endovascular therapy (EVT) for calcified nodules in patients with peripheral artery disease (PAD) remains challenging in achieving favorable outcomes. This study aims to investigate the effectiveness of orbital atherectomy (OA) for calcified nodules using an IM catheter to precisely control the device and achieve optimal engagement with the target lesion.
Methods: We performed EVT for a calcified nodule in the right common femoral artery using an OA.
Heart Vessels
November 2024
Government Medical College, Omandurar Government Estate, Chennai, 600002, Tamilnadu, India.
Catheter Cardiovasc Interv
November 2024
Cardiology and Vascular Medicine, Hoshi General Hospital, Fukushima, Japan.
Cureus
October 2024
Faculty of Dentistry, Department of Basic Sciences, Universidad de Antioquia, Medellin, COL.
Objective: Chronic arterial obstructive disease of the lower limbs is a significant global health issue. Directional atherectomy offers advantages in treating critical ischemia. The objective of this study is to determine the clinical outcomes of patients with critical ischemia who underwent directional atherectomy using the TurboHawkdevice.
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