title: [Directional catheter-mediated atherectomy as a method for treatment of occlusive and stenotic lesions of lower-limb arteries].
abstract: The authors consider a possibility of employing devices for catheter-assisted atherectomy as an alternative or addition to the conventional procedure of balloon angioplasty and stenting of occlusive and stenotic lesions of lower-limb arteries. This is followed by a detailed review of research on employing the device intended for directional catheter-mediated atherectomy SilverHawk (eV3, USA). It was revealed that the outcomes following interventions using this device were substantially superior to those obtained using balloon angioplasty and stenting of lower-limb arteries, with the primary arterial patency in the intervention zone being preserved in more than 60% of cases within the first 12 months postoperatively and in more than 50% of cases within the terms up to 18 months. The limb-salvage rate at 18 months exceeded 88% in patients with critical ischaemia, amounting to 100% in those with intermittent claudication.
authors.forename: I A
authors.initials: IA
authors.lastname: Eroshkin
authors.forename: An V
authors.initials: AV
authors.lastname: Eroshenko
authors.forename: Al V
authors.initials: AV
authors.lastname: Eroshenko
authors.forename: V T
authors.initials: VT
authors.lastname: Karpalov
mesh_terms: D001157:Arterial Occlusive Diseases / Q000601:surgery*; D017073:Atherectomy / Q000379:methods*; D002406:Catheterization, Peripheral / Q000379:methods*; D003251:Constriction, Pathologic; D005263:Femoral Artery / Q000601:surgery*; D006801:Humans; D007866:Leg / Q000098:blood supply*; D011150:Popliteal Artery / Q000601:surgery*; D016909:Tibial Arteries / Q000601:surgery*; D016896:Treatment Outcome