Academic Journal
Rotarex®S rotational atherectomy combined with drug-coated balloon angioplasty for treating femoropopliteal artery in-stent restenosis
| Title: | Rotarex®S rotational atherectomy combined with drug-coated balloon angioplasty for treating femoropopliteal artery in-stent restenosis |
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| Authors: | Hui Wang, Sensen Wu, Wenzhuo Meng, Dikang Pan, Yachan Ning, Jianming Guo, Lianrui Guo, Yongquan Gu |
| Source: | Journal of Cardiothoracic Surgery, Vol 19, Iss 1, Pp 1-8 (2024) |
| Publisher Information: | BMC, 2024. |
| Publication Year: | 2024 |
| Collection: | LCC:Surgery LCC:Anesthesiology |
| Subject Terms: | Rotational atherectomy (RA), Drug-coated balloon (DCB), Femoropopliteal artery, In-stent restenosis (ISR), Angioplasty, Surgery, RD1-811, Anesthesiology, RD78.3-87.3 |
| More Details: | Abstract Objective This study aimed to analyze the safety and mid-term outcomes of a hybrid treatment method combining rotational atherectomy (RA) with drug-coated balloon (DCB) angioplasty in patients with femoropopliteal artery in-stent restenosis (ISR). Methods This single-center retrospective study enrolled patients from January 2018 to March 2022 who had femoropopliteal artery in-stent restenosis treated by RA and DCB. Preoperative demographics, operative details, and postoperative 12-month follow-up outcomes were analyzed statistically. Results 38 consecutive patients (31 men; mean age 69.55 ± 9.18 years, range 54–91 years) with Tosaka II (n = 8) and III (n = 30) ISR were treated with RA Most patients had a high prevalence of typical vascular comorbidities. Overall, 50% of patients had chronic limb-threatening ischemia, and the average lesion length was 155.0 ± 54.8 mm. The primary patency rate, assessed by duplex ultrasound at 12 months, was 86.7%; 7.9% (3/38) of patients underwent target lesion revascularization (TLR). The overall mortality rate was 2.6% (1/38), and the ulcer healing rate reached 83.3% (5/6), with none of these patients requiring amputation. Subgroup analysis based on target lesion length (≥ 200 mm) showed that the 12-month primary patency rate was 75.0% for the ≥ 200 mm group and 95.5% for the |
| Document Type: | article |
| File Description: | electronic resource |
| Language: | English |
| ISSN: | 1749-8090 |
| Relation: | https://doaj.org/toc/1749-8090 |
| DOI: | 10.1186/s13019-024-03164-1 |
| Access URL: | https://doaj.org/article/1ab4036f3e054def80c98eab228fa9e2 |
| Accession Number: | edsdoj.1ab4036f3e054def80c98eab228fa9e2 |
| Database: | Directory of Open Access Journals |
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| ISSN: | 17498090 |
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| DOI: | 10.1186/s13019-024-03164-1 |
| Published in: | Journal of Cardiothoracic Surgery |
| Language: | English |