The role of atherectomy in the treatment of lower extremity peripheral artery disease

被引:42
作者
Franzone, Anna [1 ]
Ferrone, Marco [1 ]
Carotenuto, Giuseppe [1 ]
Carbone, Andreina [1 ]
Scudiero, Laura [1 ]
Serino, Federica [1 ]
Scudiero, Fernando [1 ]
Izzo, Raffaele [1 ]
Piccolo, Raffaele [1 ]
Saviano, Savio [1 ]
Amato, Bruno [2 ]
Perrino, Cinzia [1 ]
Trimarco, Bruno [1 ]
Esposito, Giovanni [1 ]
机构
[1] Univ Naples Federico II, Dept Clin Med Cardiovasc & Immunol Sci, I-80131 Naples, Italy
[2] Univ Naples Federico II, Dept Gen Geriatr Oncol Surg & Adv Technol, I-80131 Naples, Italy
关键词
MUSCLE-CELL-PROLIFERATION; ORBITAL ATHERECTOMY; EMBOLIC PROTECTION; IN-VIVO; ASPIRATION ATHERECTOMY; OCCLUSIVE DISEASE; VASCULAR INJURY; CLINICAL IMPACT; ABDOMINAL-AORTA; ANGIOPLASTY;
D O I
10.1186/1471-2482-12-S1-S13
中图分类号
R61 [外科手术学];
学科分类号
摘要
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.
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页数:9
相关论文
共 56 条
[1]   Optimal Techniques with the Diamondback 360° System Achieve Effective Results for the Treatment of Peripheral Arterial Disease [J].
Adams, George L. ;
Khanna, Puneet K. ;
Staniloae, Cezar S. ;
Abraham, John P. ;
Sparrow, Ephraim M. .
JOURNAL OF CARDIOVASCULAR TRANSLATIONAL RESEARCH, 2011, 4 (02) :220-229
[2]   Current status of atherectomy for peripheral arterial occlusive disease [J].
Ahn, SS ;
Concepcion, B .
WORLD JOURNAL OF SURGERY, 1996, 20 (06) :635-643
[3]  
Borgia Francesco, 2010, Monaldi Arch Chest Dis, V74, P76
[4]   MORTALITY OVER A PERIOD OF 10 YEARS IN PATIENTS WITH PERIPHERAL ARTERIAL-DISEASE [J].
CRIQUI, MH ;
LANGER, RD ;
FRONEK, A ;
FEIGELSON, HS ;
KLAUBER, MR ;
MCCANN, TJ ;
BROWNER, D .
NEW ENGLAND JOURNAL OF MEDICINE, 1992, 326 (06) :381-386
[5]   Mechanisms of Smooth Muscle Cell Proliferation and Endothelial Regeneration After Vascular Injury and Stenting - Approach to Therapy [J].
Curcio, Antonio ;
Torella, Daniele ;
Indolfi, Ciro .
CIRCULATION JOURNAL, 2011, 75 (06) :1287-1296
[6]   Infrainguinal lesion-specific device choices: Round-table discussion [J].
Das, TS ;
Beregi, JP ;
Garcia, LA ;
Abul-Khoudoud, O ;
Laird, JR ;
Lumsden, AB ;
Lyden, SP ;
Mewissen, MW ;
Shimshak, TM .
JOURNAL OF ENDOVASCULAR THERAPY, 2006, 13 :60-71
[7]  
Franzone A, 2009, TRENDS MED, V9, P32
[8]  
Garcia LA, 2009, J ENDOVASC THER, V16, P105
[9]  
Giugliano G., 2012, International journal of cardiology
[10]   Treatment of lower extremity vascular disease:: the Diamondback 360° ™ Orbital Atherectomy System [J].
Heuser, Richard R. .
EXPERT REVIEW OF MEDICAL DEVICES, 2008, 5 (03) :279-286