title: Combination of rotational atherothrombectomy and Paclitaxel-coated angioplasty for femoropopliteal occlusion.
abstract: OBJECTIVE
  The rotational atherothrombectomy with Straub Rotarex(®) is a safe and efficient treatment of acute/subactute vascular occlusions. The purpose of this study was to evaluate the benefit of paclitaxel-coated angioplasty after rotational atherothrombectomy over an observation period of six months.
  
  
  METHODS
  Overall, 29 patients were treated with the Rotarex catheter in combination with paclitaxel-coated angioplasty. All patients had acute/subacute and chronic occlusions of the superficial femoral artery (SFA) and/or popliteal arteries. The ankle-brachial index (ABI) was detected before the intervention, after the procedure, and after six months. Also clinical examination and ultrasound scans were done in the observation period.
  
  
  RESULTS
  There were no technical failures. The ABI shows a significant increase from 0.52 ± 0.17 to 0.91 ± 0.25 in the follow-up. By ultrasound examination, there were found two (6.9%) restenoses during the follow-up. There was one dissection during the intervention (3.5%).
  
  
  CONCLUSIONS
  The rotational atherothrombectomy in combination with paclitaxel-coated angioplasty might be an effective and safe method with a promising low rate of restenosis at six months.
authors.affiliation: Institute of Diagnostic and Interventional Radiology/Neuroradiology, Westkuestenklinikum Heide, Academic Teaching Hospital of the Universities of Kiel, Luebeck and Hamburg, Heide, Germany.
authors.forename: F
authors.initials: F
authors.lastname: Scheer
authors.affiliation: Institute of Diagnostic and Interventional Radiology/Neuroradiology, Westkuestenklinikum Heide, Academic Teaching Hospital of the Universities of Kiel, Luebeck and Hamburg, Heide, Germany.
authors.forename: C W
authors.initials: CW
authors.lastname: Lüdtke
authors.affiliation: Institute of Diagnostic and Interventional Radiology/Neuroradiology, Westkuestenklinikum Heide, Academic Teaching Hospital of the Universities of Kiel, Luebeck and Hamburg, Heide, Germany.
authors.forename: P
authors.initials: P
authors.lastname: Kamusella
authors.affiliation: Institute of Diagnostic Radiology, University Hospital Regensburg, Regensburg, Germany.
authors.forename: P
authors.initials: P
authors.lastname: Wiggermann
authors.affiliation: Department of Radiology and Neuroradiology, Asklepios Klinik Nord - Heidberg, Hamburg, Germany.
authors.forename: H
authors.initials: H
authors.lastname: Vieweg
authors.affiliation: Institute of Visceral, Thoracic and Vascular Surgery, Westkuestenklinikum Heide, Academic Teaching Hospital of the Universities of Kiel, Luebeck and Hamburg, Heide, Germany.
authors.forename: E
authors.initials: E
authors.lastname: Schlöricke
authors.affiliation: Clinic for Angiology, Klinikum Arnsberg, Arnsberg, Germany.
authors.forename: M
authors.initials: M
authors.lastname: Lichtenberg
authors.affiliation: Institute of Diagnostic and Interventional Radiology/Neuroradiology, Westkuestenklinikum Heide, Academic Teaching Hospital of the Universities of Kiel, Luebeck and Hamburg, Heide, Germany.
authors.forename: R
authors.initials: R
authors.lastname: Andresen
authors.affiliation: Institute of Diagnostic and Interventional Radiology/Neuroradiology, Westkuestenklinikum Heide, Academic Teaching Hospital of the Universities of Kiel, Luebeck and Hamburg, Heide, Germany.
authors.forename: C
authors.initials: C
authors.lastname: Wissgott
keywords: Rotarex catheter; acute occlusion; chronic occlusion; drug-eluting balloons