Home > Riviste > The Journal of Cardiovascular Surgery > Fascicoli precedenti > The Journal of Cardiovascular Surgery 2015 February;56(1) > The Journal of Cardiovascular Surgery 2015 February;56(1):43-54

ULTIMO FASCICOLO
 

ARTICLE TOOLS

Estratti

THE JOURNAL OF CARDIOVASCULAR SURGERY

Rivista di Chirurgia Cardiaca, Vascolare e Toracica


Indexed/Abstracted in: BIOSIS Previews, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 1,632


eTOC

 

REVIEWS  NEW DEVELOPMENTS IN THE TREATMENT OF COMPLEX LOWER EXTREMITY LESIONS


The Journal of Cardiovascular Surgery 2015 February;56(1):43-54

lingua: Inglese

Atherectomy in complex infrainguinal lesions: a review

Engelberger S. 1, Van Den Berg J. C. 2

1 Service of Vascular Surgery, Ospedale Regionale di Lugano, Lugano, Switzerland;
2 Service of Interventional Radiology, Ospedale Regionale di Lugano, Lugano, Switzerland


PDF  


In the femoropopliteal segment, endovascular revascularization techniques have gained the role as a first line treatment strategy. Nitinol stent placement has improved the short- and midterm primary patency rates in most lesion types and is therefore widely applicated. Stenting has several shortcomings as in-stent restenosis, stent fractures and foreign material being left behind in the vessel. The concept of atherectomy is plaque debulking. This results in a potential reduction of inflation pressure requirements in angioplasty. Stent placement and consecutive in-stent restenosis may be avoided. In this non systematic literature review, the perfomance of different atherectomy techniques, such as direct atherectomy, orbital atherectomy, laser debulking and rotational atherectomy in the treatment of complex femoropopliteal lesions, including long lesions, moderately to heavily calcified lesions as well as occlusions and in-stent restenosis, has been analyzed.

inizio pagina

Publication History

Per citare questo articolo

Corresponding author e-mail

stephan.engelberger@eoc.ch