Atherectomy tools for arterial treatment.
When considering limb salvage in patients with failed bypass or angioplasty, the threshold for cost effective use of atherectomy devices is important. Rotational ablation, in these cases, has offered a significant contribution to patient care. Decreased hospital stay, morbidity and mortality, plus improved quality of life are all factors in the calculation. Interventional radiologists, vascular surgeons and interventional cardiologists aim to maintain function, not to perfectly restore original anatomy. In this respect, percutaneous rotational ablation has a role as a useful device when indicated. Indications should include consideration of the pattern of disease and underlying pathology as much as the site and selection of the lesion. The Rotablator may be the device of choice in many coronary cases and it is an important device in planning peripheral revascularization procedures. It provides an option for patients and physicians who wish to achieve minimal invasion with the best possible results.
Thorpe
P
P
Creighton University School of Medicine, Omaha, NE.
D000368:Aged; D015906:Angioplasty, Balloon, Coronary / Q000191:economics / Q000295:instrumentation / Q000639:trends*; D016342:Angioplasty, Laser / Q000191:economics / Q000295:instrumentation / Q000639:trends; D001161:Arteriosclerosis / Q000191:economics / Q000601:surgery*; D003362:Cost-Benefit Analysis; D005260:Female; D006801:Humans; D014481:United States