Number of Blades-up Runs Using JetStream XC Atherectomy for Optimal Tissue Debulking in Patients with Femoropopliteal Artery In-Stent Restenosis.

Abstract

Rotational atherectomy with the use of the JetStream XC device is indicated for treatment of infrainguinal arterial obstructive disease. The number of blades-up (BU) runs needed for optimal tissue debulking in femoropopliteal in-stent restenosis (ISR) is unknown. In the present series, 6 patients (15 lesions) were treated for femoropopliteal ISR with the JetStream XC device. Minimal luminal diameter or percent stenosis improved significantly from baseline after 2 BU runs, but no further gain was seen between 2 and 4 BU runs (P > .05). However, adjunctive balloon angioplasty reduced percent stenosis significantly following BU runs. In conclusion, the JetStream XC device achieved optimal acute angiographic results in treating femoropopliteal ISR following 2 BU runs and adjunctive balloon angioplasty.

• Authors: Nicolas W Shammas, Gail A Shammas, Nicole Aasen, Gary Jarvis
• Journal: Journal of vascular and interventional radiology : JVIR (J Vasc Interv Radiol) Vol. 26 Issue 12 Pg. 1847-51 (Dec 2015) ISSN: 1535-7732 [Electronic] United States
• PMID: 26596178 (Publication Type: Clinical Trial, Journal Article)
• Copyright: Copyright © 2015 SIR. Published by Elsevier Inc. All rights reserved.

Topics

• Aged
• Atherectomy (instrumentation, methods)
• Equipment Design
• Equipment Failure Analysis
• Female
• Femoral Artery (diagnostic imaging, surgery)
• Graft Occlusion, Vascular (diagnostic imaging, surgery)
• Humans
• Male
• Popliteal Artery (diagnostic imaging, surgery)
• Radiography
• Treatment Outcome