title: Plaque debulking for femoro-popliteal occlusions: techniques and results.
abstract: Although currently there is a trend of using percutaneous transluminal angioplasty (PTA) and stenting for the treatment of long occlusions of superficial femoral artery, many studies reported comparable results in terms of mid- and long-term patency between PTA and stenting and plaque debulking techniques such as remote endarterectomy, directional atherectomy catheter atherectomy and laser guided atherectomy. A successful debulking procedure is strongly associated with patients comorbidities, length of lesions and clinical presentation. In the last decade many new devices have been proposed to improve debulking results. Despite encouraging data about technical feasibility and limb salvage rate, debulking is still associated with a low rate of long-term primary and secondary patency. However, randomized clinical trials are expected and can hopefully provide conclusions on the effective durability of these procedures.
authors: Unit of Vascular and Endovascular Surgery. Santa Maria della Misericordia Hospital, University of Perugia, Perugia, Italy.
authors: M
authors: M
authors: Lenti
authors: A
authors: A
authors: Marucchini
authors: G
authors: G
authors: Isernia
authors: G
authors: G
authors: Simonte
authors: A
authors: A
authors: Ciucci
authors: P
authors: P
authors: Cao
authors: F
authors: F
authors: Verzini
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D017073:Atherectomy / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods*; D015897:Comorbidity; D003251:Constriction, Pathologic; D004867:Equipment Design; D005260:Female; D005263:Femoral Artery / Q000000981:diagnostic imaging / Q000473:pathology / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D053208:Kaplan-Meier Estimate; D023821:Limb Salvage; D008297:Male; D008875:Middle Aged; D058729:Peripheral Arterial Disease / Q000000981:diagnostic imaging / Q000473:pathology / Q000503:physiopathology / Q000601:surgery*; D058226:Plaque, Atherosclerotic; D011150:Popliteal Artery / Q000000981:diagnostic imaging / Q000473:pathology / Q000503:physiopathology / Q000601:surgery*; D012307:Risk Factors; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014654:Vascular Patency