The added benefits and efficacy of atherectomy in the lower limb.
Atherectomy has been used as an adjunct therapy for balloon angioplasty and/or stent placement in the superficial femoral artery for many years, but has never gained global popularity in the treatment of peripheral arterial disease, most probably related to the conflicting results as published in the literature. Novel techniques that have been developed over the past years are yielding promising results in the infrainguinal region. This paper will describe the added benefits of atherectomy as compared to plain old balloon angioplasty and bail-out bare-metal stenting, both in the treatment of primary lesions of the superficial femoral artery as well as in cases of in-stent restenosis.
Service of Interventional Radiology, Ospedale Regionale di Lugano, Lugano, Switzerland - jos.vandenberg@eoc.ch.|Universitätsinstitut für Diagnostische, Interventionelle und Pädiatrische Radiologie, Inselspital, Bern, Switzerland
Jos C
JC
VAN DEN Berg
D000800:Angioplasty, Balloon / Q000295:instrumentation; D017073:Atherectomy / Q000009:adverse effects / Q000379:methods*; D003251:Constriction, Pathologic; D005263:Femoral Artery / Q000000981:diagnostic imaging / Q000503:physiopathology; D006801:Humans; D035002:Lower Extremity / Q000098:blood supply*; D058729:Peripheral Arterial Disease / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000628:therapy*; D012008:Recurrence; D012307:Risk Factors; D015607:Stents; D016896:Treatment Outcome