title: Current Role of Atherectomy for Treatment of Femoropopliteal and Infrapopliteal Disease.
abstract: Atherectomy improves the acute procedural success of a procedure whether treating de novo or restenotic (including in-stent) disease. Intermediate follow-up results seem to be in favor of atherectomy in delaying and reducing the need for repeat revascularization in patients with femoropopliteal in-stent restenosis. Recent data suggest that avoiding cutting into the external elastic lamina is an important factor in reducing restenosis. The interplay between directional atherectomy and drug-coated balloons is unclear.
authors.affiliation: Midwest Cardiovascular Research Foundation, 1622 E Lombard Street, Davenport, IA 52803, USA; University of Iowa, 200 Hawkins Dr, Iowa City, IA 52242, USA; Genesis Heart Institute, Cardiovascular Medicine, PC, 1236 East Rusholme street, Suite 300, Davenport, IA 52803, USA. Electronic address: Shammas@mchsi.com.
authors.forename: Nicolas W
authors.initials: NW
authors.lastname: Shammas
mesh_terms: D017073:Atherectomy / Q000379:methods*; D057510:Endovascular Procedures / Q000379:methods*; D005263:Femoral Artery / Q000601:surgery*; D006801:Humans; D058729:Peripheral Arterial Disease / Q000601:surgery*; D011150:Popliteal Artery / Q000601:surgery*
keywords: Atherectomy; Distal embolization; Femoropopliteal artery; Infrapopliteal artery; Restenosis; Revascularization