REVIEW  VASCULAR SECTION 

The Journal of Cardiovascular Surgery 2023 April;64(2):184-98

DOI: 10.23736/S0021-9509.23.12544-4

Copyright © 2023 EDIZIONI MINERVA MEDICA

lingua: Inglese

Atherectomy to treat femoropopliteal atherosclerotic disease

Pedro J. NEVES ¹, Emily A. MALGOR ¹, Mahmood KABEIL ¹, Marcone L. SOBREIRA ², Rafael D. MALGOR ¹ ✉

¹ Division of Vascular and Endovascular Surgery, Department of Surgery, Anschutz Medical Center, University of Colorado, Aurora, CO, USA; ² Botucatu Medical School - UNESP, Division of Vascular and Endovascular Surgery, Department of Surgery and Orthopedics, Botucatu, Brazil

Atherectomy as an endovascular modality to treat peripheral arterial disease has gained traction over the past 10 years. Unlike most other available technologies, atherectomy works by physically debulking atherosclerotic plaque via a variety of mechanisms being the femoropopliteal segment the most targeted one. The aims of this review were to detail the types of atherectomy available, existing evidence available for atherectomy use in the femoropopliteal segment as compared to other interventions, critical appraisal of its current use and the possible influences on its indication. Future steps regarding atherectomy usage and data presentation are also described.

KEY WORDS: Atherectomy; Femoral artery; Popliteal artery; Peripheral arterial disease; Endovascular procedures