Early experience in the application of distal protection devices in treatment of peripheral vascular disease of the lower extremities.
The objectives of this study were to reduce the risk of showering distal vessels with thromboemboli created during percutaneous interventions of the arteries in the lower extremities. Distal protection devices have been used in coronary and carotid interventions. Hence, using similar techniques, these filters and occlusion balloons were advanced past the targeted lesions and distally into femoral and popliteal arteries. Once opened, these devices allowed standard angioplasty and stent placement and captured the dislodged thromboemboli. Five cases were performed with the distal protection devices. One case used the distal occlusion balloon and four with the filter system. All five passed the lesion and were deployed. All five devices were retrieved without incident and were retrieved with substantial debris. There were no adverse events. The use of distal protection to treat high-risk or unstable lesions in the lower extremities shows great promise. Further case will be needed to evaluate the device for feasibility and safety.
Wholey
Michael H
MH
Department of Cardiovascular and Interventional Radiology, University of Texas Health Science Center, San Antonio, Texas 78284, USA. wholey@compuserve.com
Toursarkissian
Boulis
B
Postoak
Darren
D
Natarajan
Bala
B
Joiner
Donald
D
D000368:Aged; D000369:Aged, 80 and over; D000792:Angiography; D001161:Arteriosclerosis / Q000150:complications*; D017809:Fatal Outcome; D005374:Filtration / Q000295:instrumentation*; D006801:Humans; D035002:Lower Extremity / Q000098:blood supply*; D008297:Male; D008875:Middle Aged; D016491:Peripheral Vascular Diseases / Q000150:complications* / Q000628:therapy*; D015607:Stents; D013923:Thromboembolism / Q000209:etiology / Q000517:prevention & control*