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CardioVascular and Interventional Radiology
Published in: CardioVascular and Interventional Radiology 2/2009

Open Access 01-03-2009 | Opinion

Challenging a Myth: Directional Atherectomy

Author: Jim Reekers

Published in: CardioVascular and Interventional Radiology | Issue 2/2009

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Excerpt

Percutaneous atherectomy was first introduced as an alternative to balloon angioplasty (BA) in 1986 to improve the results that could be achieved with BA [1]. The advantages of atherectomy were the creation of a smooth luminal surface with less local thrombosis and the reduction of elastic recoil because the lumen can widen without stretching the arterial wall. In percutaneous atherectomy the atheromatous intima usually occurs with or without the media. The notion that the “bad” atheroma would be removed is also an appealing feature of this technique. …
Literature
1.
Simpson JB, Zimmerman JJ, Selmon RM et al (1986) Transluminal atherectomy: initial clinical results in 27 patients. Circulation 74(Suppl II):203
2.
Katzen BT, Becker GJ, Benenatti JF et al (1992) Long-term follow-up of directional atherectomy in femoral and popliteal arteries. J Vasc Interv Radiol 3:38–39CrossRef
3.
Vroegindeweij D, Tielbeek AV, Buth J et al (1995) Directional atherectomy versus balloon angioplasty in segmental femoropopliteal artery disease: two years follow-up using color flow duplex. J Vasc Surg 21:235–269CrossRef
4.
Ramaiah V, Gammon R, Kieszs S et al (2006) Midterm outcomes from the TALON Registry: treating peripherals with SilverHawk: outcomes collection. J Endovasc Ther 13:592–602PubMedCrossRef
5.
Keeling WB, Shames ML, Stone PA et al (2007) Plaque excision with the SilverHawk catheter: early results in patients with claudication or critical limb ischemia. J Vasc Surg 45:25–31PubMedCrossRef
6.
Lam RC, Shah S, Faries PL, McKinsey JF, Kent KC, Morrissey HJ (2007) Incidence and clinical significance of digital embolization during percutaneous interventions involving the superficial femoral artery. J Vasc Surg 46:1155–1159PubMedCrossRef
7.
Chung SW, Sharafuddun MJ, Chigurupat R, Hoballah JJ (2008) Midterm patency following atherectomy for infrainguinal occlusive disease: a word of caution. Ann Vasc Surg 22:358–365PubMedCrossRef
Metadata
Title
Challenging a Myth: Directional Atherectomy
Author
Jim Reekers
Publication date
01-03-2009
Publisher
Springer-Verlag
Published in
CardioVascular and Interventional Radiology / Issue 2/2009
Print ISSN: 0174-1551
Electronic ISSN: 1432-086X
DOI
https://doi.org/10.1007/s00270-008-9437-y

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