The role of atherectomy in the treatment of lower extremity peripheral artery disease.

Abstract:

BACKGROUND:The incidence of lower extremity peripheral artery disease (LE-PAD) continues to increase and associated morbidity remains high. Despite the significant development of percutaneous revascularization strategies, over the past decade, LE-PAD still represents a unique challenge for interventional cardiologists and vascular surgeons. METHOD:Typical features of atherosclerosis that affects peripheral vascular bed (diffuse nature, poor distal runoff, critical limb ischemia, chronic total occlusion) contribute to the disappointing results of traditional percutaneous transluminal angioplasty (PTA). New technologies have been developed in attempt to improve the safety and effectiveness of percutaneous revascularization. Among these, atherectomy, debulking and removing atherosclerotic plaque, offers the potential advantage of eliminating stretch on arterial walls and reducing rates of restenosis. CONCLUSIONS:This review summarizes the features and the current applications of new debulking devices.

journal_name

BMC Surg

journal_title

BMC surgery

authors

Franzone A,Ferrone M,Carotenuto G,Carbone A,Scudiero L,Serino F,Scudiero F,Izzo R,Piccolo R,Saviano S,Amato B,Perrino C,Trimarco B,Esposito G

doi

10.1186/1471-2482-12-S1-S13

subject

Has Abstract

pub_date

2012-01-01 00:00:00

pages

S13

issn

1471-2482

pii

1471-2482-12-S1-S13

journal_volume

12 Suppl 1

pub_type

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