The Role of Directional Atherectomy in Critical-limb Ischemia

Overview

Journal Ther Adv Cardiovasc Dis

Publisher Sage Publications

Specialties Cardiology & Vascular Diseases
Pharmacology

Date 2021 Nov 19

PMID 34796770

Citations 1

Authors

Prakash Krishnan

Arthur Tarricone

Simon Chen

Samin Sharma

Affiliations

Soon will be listed here.

Abstract

Background: Our aim was to review the current literature of the use of directional atherectomy (DA) in the treatment of lower extremity critical-limb ischemia.

Methods: A search for relevant literature was performed in PubMed and PubMed Central on 16 April 2020, sorted by best match. Three searches across two databases were performed. Articles were included that contained clinical and procedural data of DA interventions in lower extremity critical-limb ischemia patients. All studies that were systematic reviews were excluded.

Results: Eleven papers were included in this review. Papers were examined under several parameters: primary patency and secondary patency, limb salvage/amputation, technical/procedural success, complications/periprocedural events, and mean lesion length. Primary and secondary patency rates ranged from 56.3% to 95.0% and 76.4% to 100%, respectively. Limb salvage rates ranged from 69% to 100%. Lesion lengths were highly varied, representing a broad population, ranging from 30 ± 33 mm to 142.4 ± 107.9 mm.

Conclusions: DA may be a useful tool in the treatment of lower extremity critical-limb ischemia.

Citing Articles

First-in-Man Study of a Novel Peripheral Plaque Atherectomy Device.

Wang H, Pan D, Cui S, Tong Z, Gao X, Gu Y J Clin Hypertens (Greenwich). 2025; 27(1):e14967.

PMID: 39854100 PMC: 11771806. DOI: 10.1111/jch.14967.

Directional atherectomy for retained valves in a femoropopliteal saphenous vein bypass graft.

Subramanian T, Weiss R, Lee C J Vasc Surg Cases Innov Tech. 2024; 10(2):101406.

PMID: 38379615 PMC: 10877165. DOI: 10.1016/j.jvscit.2023.101406.

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