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Atherectomy is a minimally invasive technique for removing atherosclerosis from blood vessels within the body. It is an alternative to angioplasty for the treatment of peripheral artery disease , but the studies that exist are not adequate to determine whether it is superior to angioplasty. [ 1 ]
Atherectomy is a valuable adjunctive therapy for patients with coronary artery disease, particularly those with severely calcified lesions where traditional balloon angioplasty and stenting may be insufficient. Its success depends on the selection of appropriate devices and the operator’s expertise in managing the technical nuances to ...
The goal of this pivotal study is to evaluate the safety and efficacy of using this unique laser device — a first-of-its-kind solution that integrates laser atherectomy and intravascular lithotripsy in a single device to treat complex, calcified lesions in a single procedure for patients with peripheral artery disease (PAD), restoring blood ...
As with any procedure involving the heart, complications can sometimes, though rarely, cause death. The mortality rate during angioplasty is 1.2%. [17] Sometimes chest pain can occur during angioplasty because the balloon briefly blocks off the blood supply to the heart. The risk of complications is higher in: [18] People aged 65 and older
Modern endovascular approaches to treating atherosclerosis can include combinations of angioplasty, stenting, and atherectomy (removal of plaque). Peripheral artery disease (PAD; sometimes peripheral vascular disease, PVD) is most often a result of atherosclerosis and affects the arteries of the lower extremities, those below the aortic ...
The looped guidewire is further advanced towards the patent portion of the artery distal to the occlusion, where re-entry into the true lumen can now be achieved. To avoid bleeding complications in the event of arterial perforation, heparin is only administered once re-entry into the true lumen is confirmed.
Major complications in cerebral angiography such as in digital subtraction angiography or contrast MRI are also rare but include stroke, an allergic reaction to the anaesthetic other medication or the contrast medium, blockage or damage to one of the access veins in the leg, pseudoaneurysm at the puncture site; or thrombosis and embolism formation.
In the legs, bypass grafting is used to treat peripheral vascular disease, acute limb ischemia, aneurysms and trauma.While there are many anatomical arrangements for vascular bypass grafts in the lower extremities depending on the location of the disease, the principle is the same: to restore blood flow to an area without normal flow.