The role of directional atherectomy in critical-limb ischemia

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...

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Autores principales:	Prakash Krishnan, Arthur Tarricone, Simon Chen, Samin Sharma
Formato:	article
Lenguaje:	EN
Publicado:	SAGE Publishing 2021
Materias:	Diseases of the circulatory (Cardiovascular) system RC666-701
Acceso en línea:	https://doaj.org/article/0ea983c7eef9416d8a86c8dec046272b
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id	oai:doaj.org-article:0ea983c7eef9416d8a86c8dec046272b
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spelling	oai:doaj.org-article:0ea983c7eef9416d8a86c8dec046272b2021-11-19T23:03:31ZThe role of directional atherectomy in critical-limb ischemia1753-945510.1177/17539447211046953https://doaj.org/article/0ea983c7eef9416d8a86c8dec046272b2021-11-01T00:00:00Zhttps://doi.org/10.1177/17539447211046953https://doaj.org/toc/1753-9455Background: 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.Prakash KrishnanArthur TarriconeSimon ChenSamin SharmaSAGE PublishingarticleDiseases of the circulatory (Cardiovascular) systemRC666-701ENTherapeutic Advances in Cardiovascular Disease, Vol 135 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Diseases of the circulatory (Cardiovascular) system RC666-701
spellingShingle	Diseases of the circulatory (Cardiovascular) system RC666-701 Prakash Krishnan Arthur Tarricone Simon Chen Samin Sharma The role of directional atherectomy in critical-limb ischemia
description	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.
format	article
author	Prakash Krishnan Arthur Tarricone Simon Chen Samin Sharma
author_facet	Prakash Krishnan Arthur Tarricone Simon Chen Samin Sharma
author_sort	Prakash Krishnan
title	The role of directional atherectomy in critical-limb ischemia
title_short	The role of directional atherectomy in critical-limb ischemia
title_full	The role of directional atherectomy in critical-limb ischemia
title_fullStr	The role of directional atherectomy in critical-limb ischemia
title_full_unstemmed	The role of directional atherectomy in critical-limb ischemia
title_sort	role of directional atherectomy in critical-limb ischemia
publisher	SAGE Publishing
publishDate	2021
url	https://doaj.org/article/0ea983c7eef9416d8a86c8dec046272b
work_keys_str_mv	AT prakashkrishnan theroleofdirectionalatherectomyincriticallimbischemia AT arthurtarricone theroleofdirectionalatherectomyincriticallimbischemia AT simonchen theroleofdirectionalatherectomyincriticallimbischemia AT saminsharma theroleofdirectionalatherectomyincriticallimbischemia AT prakashkrishnan roleofdirectionalatherectomyincriticallimbischemia AT arthurtarricone roleofdirectionalatherectomyincriticallimbischemia AT simonchen roleofdirectionalatherectomyincriticallimbischemia AT saminsharma roleofdirectionalatherectomyincriticallimbischemia
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The role of directional atherectomy in critical-limb ischemia

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