Infrainguinal arterial intervention: is there a role for an atherectomy device?
Excision of atheromatous plaque is an attractive option for the minimally invasive treatment of peripheral arterial disease. Approved for use in 2003, the SilverHawk Plaque Exicison System (FoxHollow Technologies, Redwood City, CA) is a catheter-based plaque excision device allowing percutaneous removal of atheromatous material. This device represents the most recent generation of atherectomy tools. Overall experience with plaque debulking in the peripheral arteries spans almost two decades, and understanding of the technique continues to evolve. This article reviews the technology, current practices, and data on plaque excision.
Mureebe
Leila
L
Division of Vascular Surgery, New York Presbyterian Hospital, Weill Medical College of Cornell University, Columbia University College of Physicians and Surgeons, New York, NY, USA. LM2242@columbia.edu
McKinsey
James F
JF
D017073:Atherectomy / Q000295:instrumentation*; D050197:Atherosclerosis / Q000601:surgery*; D004867:Equipment Design; D006801:Humans; D007866:Leg / Q000098:blood supply*; D016491:Peripheral Vascular Diseases / Q000601:surgery*; D016896:Treatment Outcome