Debulking procedures: potential device specific indications

Techniques in Vascular and Interventional Radiology
Uwe Schwarzwälder, Thomas Zeller

Abstract

During the past decade, the endovascular treatment of peripheral arterial disease has become more widespread due to the impressive extension of the endovascular toolbox to include different atherectomy technologies. The promise of atherectomy is to avoid the "barotraumas" defined as complications of traditional angioplasty such as dissection, elastic recoil, and disruption of the internal elastic lamina resulting in overwhelming neointima and smooth muscle cell proliferation. The oldest atherectomy technologies are the excimer laser and the Rotablator. The excimer laser technology is based on the principle of photoablation converting occlusive material into microbubbles being immediately dissolved into the blood. The Rotablator and the newer diamondback device are high speed rotational "sanding" devices particularly developed for the treatment of highly calcified plaque particularly in small vessel lesions, such as the popliteal and infrapopliteal segments. The Silverhawk system, currently the most widespread used device, is a directional atherectomy device particularly designed for eccentric and not severely calcified infrainguinal lesions whereas a variation of this device, the Rockhawk, is dedicated for the treatment of calc...Continue Reading

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Citations

Sep 28, 2014·Cardiovascular Intervention and Therapeutics·Keisuke Fukuda, Yoshiaki Yokoi
Jul 22, 2014·Annals of Medicine·Giovanni Di MinnoElena Tremoli
May 20, 2015·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Akiko MaeharaWilliam A Gray
Jun 11, 2014·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Stavros SpiliopoulosDimitrios Karnabatidis
Jun 26, 2015·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Gioel Gabrio SeccoCarlo Di Mario
Sep 23, 2014·Techniques in Vascular and Interventional Radiology·John H Rundback, Kevin Chaim Herman
Sep 30, 2020·The Cochrane Database of Systematic Reviews·Bethany G WardleChristopher P Twine
Mar 19, 2014·The Cochrane Database of Systematic Reviews·Graeme K AmblerChristopher P Twine

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