title: JetStream atherectomy for treating iatrogenic occlusion of a stented common femoral artery following deployment of angio-seal closure device.
abstract: We report a case of a stented common femoral artery acute occlusion following deployment of an Angio-Seal closure device treated successfully with JetStream atherectomy under distal embolic protection using a NAV6 filter. The JetStream device, with its rotational atherectomy and continuous active aspiration feature, was effective in restoring normal flow to the distal lower extremity and eliminated the subtotal occlusion. Debris was captured in the filter and was retrieved successfully. The NAV6 filter seems uniquely suited for use in conjunction with the JetStream device because its filter is detached from the wire, allowing free wire movement with atherectomy. The JetStream device with NAV6 embolic capture system appears to be an effective method in treating stented common femoral artery occlusion following Angio-Seal deployment.
authors.affiliation: Midwest Cardiovascular Research Foundation, 1622 E Lombard Street, Davenport, IA 52803 USA. shammas@mchsi.com
authors.forename: Nicolas W
authors.initials: NW
authors.lastname: Shammas
mesh_terms: D000368:Aged; D017225:Atherectomy, Coronary / Q000379:methods*; D003324:Coronary Artery Disease / Q000628:therapy; D004617:Embolism / Q000209:etiology* / Q000628:therapy*; D005260:Female; D005263:Femoral Artery; D006489:Hemostatic Techniques / Q000009:adverse effects*; D006801:Humans; D007049:Iatrogenic Disease; D062645:Percutaneous Coronary Intervention / Q000295:instrumentation / Q000379:methods; D015607:Stents; D016896:Treatment Outcome