Hybrid atherectomy for lower extremity peripheral arterial disease

Atherectomy in treatment of lower extremity peripheral arterial disease

Lower Extremity Peripheral Arterial Disease

Eight to 12 million people in United States have PAD (Allison et al. 2007). Only ~10% of patients with PAD have classic intermittent claudication (IC), ~50% have atypical leg symptoms and ~40% are asymptomatic (Hiatt 2001). Its prevalence significantly increases with age; 12 – 20% of those above the age of 65 years suffer from PAD (Ostchega al. 2007). The prevalence of PAD is similar in men and...

Role of Atherectomy Devices in the Treatment of Lower Extremity Peripheral Arterial Disease

Introduction Atherosclerosis is a systemic disease affecting all major vascular beds. Risk factors for atherosclerosis, and therefore, for PAD, include active smoking, advance age, dyslipidemia, diabetes mellitus, and hypertension. Due to continuous increase in aging population and diabetes, incidence of peripheral arterial disease will continue to increase. While atherosclerotic coronary disea...

Mortality following operations for lower extremity peripheral arterial disease

BACKGROUND We sought to identify risk factors associated with mortality following surgery for peripheral arterial disease (PAD). METHODS We evaluated the association between levels of control of atherosclerotic risk factors and time to mortality following either lower extremity bypass surgery or lower extremity amputation using Cox proportional hazards regression. RESULTS Among 796 patients...

Simultaneous hybrid revascularization for symptomatic lower extremity arterial occlusive disease

Multilevel revascularization, using a combination of endovascular and open (hybrid) surgery, is increasingly being used. Hybrid surgery allows complex anatomy to be treated by minimally invasive procedures in medically high risk patients. The aim of the present study was to report a novel hybrid surgery for lesions in the multilevel lower extremity arteries and to evaluate the clinical outcomes...