title: Peripheral Atherectomy: Applications and Techniques.
abstract: Peripheral atherectomy is a class of procedures that is rapidly increasing in volume. Multiple classes of devices exist, and newer variants are added to the market annually. The devices see wide application for de novo lesions, in-stent restenosis, and adjunctive therapy for drug-coated balloons. The body of evidence supporting atherectomy is less robust than for many other peripheral therapies. The frequency and severity of complications from atherectomy can be significant compared with angioplasty and stenting, and familiarity with preventative and bailout techniques is essential for the interventionalist.
authors.affiliation: Vascular & Interventional Physicians, Spectrum Medical Group, Portland, ME. Electronic address: mittld9@spectrummg.com.
authors.forename: Derek
authors.initials: D
authors.lastname: Mittleider
authors.affiliation: Department of Radiology, Maine Medical Center, Portland, ME.
authors.forename: Erich
authors.initials: E
authors.lastname: Russell
mesh_terms: D000368:Aged; D000792:Angiography; D000925:Anticoagulants / Q000627:therapeutic use; D017073:Atherectomy / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods*; D057505:Embolic Protection Devices; D005260:Female; D006801:Humans; D007834:Lasers; D035002:Lower Extremity / Q000098:blood supply*; D008297:Male; D008875:Middle Aged; D018579:Patient Selection; D058729:Peripheral Arterial Disease / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D015641:Radiography, Interventional; D012307:Risk Factors; D016896:Treatment Outcome; D062666:Vascular Access Devices
chemical_list: D000925:Anticoagulants
keywords: distal embolic protection; in-stent restenosis; peripheral atherectomy