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Sixty-one patients with occlusive peripheral vascular disease were treated with transluminal atherectomy, a catheter-mediated technique for removal of atheroma. The technique was performed using 7Fr, 9Fr or 11Fr atherectomy catheters. Mean percent diameter stenosis was reduced from 71 to 23%, by removal of 831 atheromatous specimens in 949 passes of the cutting element through 136 stenoses in 61 patients. All specimens removed were sent for histopathologic examination to determine the components of the atheroma removed, which differed for specimens removed from original vs restenotic lesions. Percent stenosis was reduced to less than 45% in 118 of 136 stenoses (87%). Complications included 1 thrombus, which resolved after intraarterial infusion of streptokinase and 1 probable distal embolization without sequelae. Three angiographic dissections occurred without impairment of blood flow. There were no instances of acute occlusion, vascular spasm or vessel perforation. Six-month follow-up angiography was performed showing that patients who had a residual stenosis less than 30% after initial atherectomy had a lower restenosis rate (18%) than patients with initial residual stenoses greater than 30% (52%); this result demonstrated the importance of performing more complete atherectomy. Transluminal atherectomy appears to be an effective, predictable and safe method for removing occlusive atheromatous deposits from peripheral arteries.
J B Simpson, and
M R Selmon, and
G C Robertson, and
P R Cipriano, and
W G Hayden, and
D E Johnson, and
T J Fogarty
June 1990,
Journal of the American College of Cardiology,
J B Simpson, and
M R Selmon, and
G C Robertson, and
P R Cipriano, and
W G Hayden, and
D E Johnson, and
T J Fogarty
July 1994,
Nihon Igaku Hoshasen Gakkai zasshi. Nippon acta radiologica,
J B Simpson, and
M R Selmon, and
G C Robertson, and
P R Cipriano, and
W G Hayden, and
D E Johnson, and
T J Fogarty
April 1990,
Zhonghua xin xue guan bing za zhi,
J B Simpson, and
M R Selmon, and
G C Robertson, and
P R Cipriano, and
W G Hayden, and
D E Johnson, and
T J Fogarty
January 1990,
Annals of vascular surgery,
J B Simpson, and
M R Selmon, and
G C Robertson, and
P R Cipriano, and
W G Hayden, and
D E Johnson, and
T J Fogarty
September 1989,
Catheterization and cardiovascular diagnosis,
J B Simpson, and
M R Selmon, and
G C Robertson, and
P R Cipriano, and
W G Hayden, and
D E Johnson, and
T J Fogarty
January 1996,
World journal of surgery,
J B Simpson, and
M R Selmon, and
G C Robertson, and
P R Cipriano, and
W G Hayden, and
D E Johnson, and
T J Fogarty
June 1984,
The New England journal of medicine,
J B Simpson, and
M R Selmon, and
G C Robertson, and
P R Cipriano, and
W G Hayden, and
D E Johnson, and
T J Fogarty
January 2010,
Der Radiologe,
J B Simpson, and
M R Selmon, and
G C Robertson, and
P R Cipriano, and
W G Hayden, and
D E Johnson, and
T J Fogarty
May 1982,
The Journal of the Kentucky Medical Association,
J B Simpson, and
M R Selmon, and
G C Robertson, and
P R Cipriano, and
W G Hayden, and
D E Johnson, and
T J Fogarty
January 1988,
Acta medica Austriaca,
