Jetstream Atherectomy System for Treatment of Femoropopliteal Artery Disease: A Single Center Experience and Mid-term Outcomes

Ardita, Vincenzo; Ronchey, Silvia; Orrico, Matteo; Pappalardo, Vincenzo; Davì, Alberto; Fazzini, Stefano; Alberti,; Mangialardi, Nicola

doi:10.1016/j.avsg.2019.04.052

Cited by 2 publications

(2 citation statements)

References 15 publications

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“…These results are comparable with the previous studies on Jetstream device. 3,9–11 They are also comparable with other atherectomy devices at 12 months. 5,8,12,13 PP and SP rates at 24 months were 70.9 and 80%, respectively.…”

Section: Discussionsupporting

confidence: 53%

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Rotational atherectomy with adjunctive balloon angioplasty in calcified chronic total occlusions of superficial femoral artery

Engin¹,

Saydam²

2020

Vascular

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Objectives The aim was to report the mid-term outcomes of Jetstream™ rotational atherectomy device in complex femoropopliteal lesions. Methods Between November 2016 and April 2018, 55 patients who were treated with rotational atherectomy and adjunctive balloon angioplasty due to complex femoropopliteal lesions were retrospectively scanned. Results Fifty-five patients who underwent endovascular treatment with rotational atherectomy for chronic total occlusive femoropopliteal lesions were included in the study. Technical success rate was 100%. The mean age was 63 (±10.5) years. The cohort included 25 (45.4%) diabetics and 45 (81.8%) current smokers. The mean length of the lesions was 20.8 ± 11.2 cm. Chronic total occlusive lesions were detected in 35 (63.6%) patients, and mixed-type steno-occlusive lesions were detected in 20 patients (36.4%). Thirty-three (60%) lesions were moderate or severely calcified. Adjunctive balloon angioplasty was performed with plain old balloon angioplasty (POBA) on 31 (56.4%) patients and with drug-coated balloon angioplasty on 24 (43.6%) patients. After adjunctive balloon angioplasty, flow limiting dissection was observed in 20 (36.3%) patients, and 17 (30.9%) patients needed stent implantation. The Kaplan–Meier analysis method estimated that the overall primary patency rates at 12 and 24 months were 81.8% and 70.9%, respectively. Overall, secondary patency rates at 12 and 24 months were 94.5% and 80%. No statistically significant differences of 24-month primary patency and secondary patency rates were found between patients treated with drug-coated balloon angioplasty and POBA as an adjunctive therapy, even though primary patency (83.3% vs. 61.3%, p = .06) and secondary patency (91.7% vs. 71%, p = .56) rates of drug-coated balloon angioplasty were slightly higher than POBA. Patients with claudication had better primary patency (90.5% vs. 58.8%, p = .001) and secondary patency (100% vs. 67.6%, p = .004) rates than patients with critical limb ischemia at 24 months. Significant differences between patients who did and did not stop smoking were found in 24-month primary patency (57% vs. 88%, p = .007) and secondary patency (67% vs. 96%, p = .007). Six patients underwent unplanned amputation. There were eight (14.5%) mortalities during follow-up. Conclusions Rotational atherectomy with adjunctive balloon angioplasty has satisfactory technical success rates and mid-term outcomes. As an adjunctive method, there was no difference between drug-coated balloon angioplasty s and POBAs. Smoking cessation is always the first-step treatment to improve mid-term patency results. Patients with critical limb ischemia have worse patency results compared to the patients with claudication.

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Section: Discussionsupporting

confidence: 53%

“…Hence, the current study has the highest severe calcification and CTO rate, with the longest mean lesion length treated with Jetstream atherectomy device. 3,9–11,14 Primary and SP rates of the study are desirable considering that hostile lesion properties are considered to be the reasons for poor outcome and complications.…”

Section: Discussionmentioning

confidence: 99%

Rotational atherectomy with adjunctive balloon angioplasty in calcified chronic total occlusions of superficial femoral artery

Engin¹,

Saydam²

2020

Vascular

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Femoropopliteale Arterienerkrankung: Jetstream-Atherektomie-System in der Praxis

2020

Gefäßmedizin Scan - Zeitschrift für Angiologie, Gefäßchirurgie,

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Jetstream Atherectomy System for Treatment of Femoropopliteal Artery Disease: A Single Center Experience and Mid-term Outcomes

Cited by 2 publications

References 15 publications

Rotational atherectomy with adjunctive balloon angioplasty in calcified chronic total occlusions of superficial femoral artery

Rotational atherectomy with adjunctive balloon angioplasty in calcified chronic total occlusions of superficial femoral artery

Femoropopliteale Arterienerkrankung: Jetstream-Atherektomie-System in der Praxis

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