BMC surgery · 2012
The role of atherectomy in the treatment of lower extremity peripheral artery disease.
СтатьяОбзорНазвание и аннотация: Перевод пока не подготовлен
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Franzone Anna, Ferrone Marco, Carotenuto Giuseppe, Carbone Andreina, Scudiero Laura, Serino Federica, Scudiero Fernando, Izzo Raffaele, Piccolo Raffaele, Saviano Savio, Amato Bruno, Perrino Cinzia, Trimarco Bruno, Esposito Giovanni
Аннотация
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.
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.