Successful management of lower extremity distal embolization following percutaneous atherectomy with the JetStream G3 device.
There has been a resurgence of atherectomy as a strategy to treat peripheral atherosclerosis. Distal embolization occurs frequently during peripheral endovascular interventions but is of particular concern during atherectomy. We describe a case of distal embolization following atherectomy with the Pathway JetStream system successfully managed with aspiration thrombectomy and infrapopliteal angioplasty. A detailed review of the incidence, treatment, and prevention of DE in this context are presented.
University of California San Diego, Department of Medicine, Division of Cardiology, San Diego, CA, USA.
Ryan
R
Reeves
Joseph K
JK
Imsais
Anand
A
Prasad
D000792:Angiography / Q000379:methods; D017130:Angioplasty / Q000379:methods; D017073:Atherectomy / Q000009:adverse effects*; D050197:Atherosclerosis / Q000000981:diagnostic imaging / Q000601:surgery*; D017128:Embolectomy / Q000379:methods*; D004617:Embolism / Q000209:etiology / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D035002:Lower Extremity; D008297:Male; D008875:Middle Aged; D058729:Peripheral Arterial Disease / Q000000981:diagnostic imaging / Q000601:surgery*; D018570:Risk Assessment; D016896:Treatment Outcome; D014654:Vascular Patency / Q000502:physiology