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The Journal of Cardiovascular Surgery 2011 August;52(4):493-505

Copyright © 2011 EDIZIONI MINERVA MEDICA

lingua: Inglese

Evolution of atherectomy devices

Al Khoury G. E ¹, Chaer R. A. ² ✉

¹ Vascular and Endovascular Surgery, Division of Vascular Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA; ² Division of Vascular Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA

Percutaneous atherectomy provides an alternative approach to the endovascular treatment of peripheral atherosclerotic occlusive disease beyond angioplasty and stenting, and has the theoretical advantage of lesion debulking and minimizing barotrauma to the vessel wall. Atherectomy has evolved greatly during the last decade, with currently four FDA approved devices for the treatment of peripheral arterial disease. Several reports have focused on the initial technical success rates, and demonstrated the safety and short as well as mid-term efficacy of atherectomy devices. This article will review the evolution of current atherectomy devices and the associated literature.