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Textbook of Catheter-Based Cardiovascular Interventions pp 1377–1388Cite as

Rotational Atherectomy in Peripheral Arterial Interventions

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Abstract

Vessel modification is important to achieve acute procedural success in complex peripheral vascular disease, minimize dissections, and reduce the need for stenting. Removing atherosclerotic plaque as well as calcium and thrombus in the plaque, and modifying the calcium will be advantageous especially in long superficial femoral artery, popliteal artery occlusions. The Jetstream atherectomy system (Boston Scientific Corporation) is a rotating and aspirating and expandable catheter designed to remove atherosclerotic plaque and thrombus from peripheral vasculature. Phoenix atherectomy system (Volcano) is another rotational atherectomy system that continuously cuts, captures, and clears the atheroma with a low-profile catheter that can be used for below knee vessels. The Rotablator system has been used for a number of years in coronary vasculature for calcified lesions and is available for treatment of calcific disease in peripheral vasculature.

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Authors and Affiliations

  1. Baptist Health Cardiology, Little Rock, AR, USA

    Nuri Ilker Akkus MD, FACC, FSCAI

  2. Louisiana State University- Shreveport, Department of Medicine- Section of Cardiology, Shreveport, LA, USA

    Abdulrahman Abdulbaki MD, FACC, FSCAI

Authors
  1. Nuri Ilker Akkus MD, FACC, FSCAI
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  2. Abdulrahman Abdulbaki MD, FACC, FSCAI
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Corresponding author

Correspondence to Nuri Ilker Akkus MD, FACC, FSCAI .

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Editors and Affiliations

  1. Middle German Heart Center and Health Care Center Bitterfeld-Wolfen, gGmbH, Bitterfeld-Wolfen, Germany

    Peter Lanzer

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Akkus, N.I., Abdulbaki, A. (2018). Rotational Atherectomy in Peripheral Arterial Interventions. In: Lanzer, P. (eds) Textbook of Catheter-Based Cardiovascular Interventions. Springer, Cham. https://doi.org/10.1007/978-3-319-55994-0_79

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  • DOI: https://doi.org/10.1007/978-3-319-55994-0_79

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-55993-3

  • Online ISBN: 978-3-319-55994-0

  • eBook Packages: MedicineMedicine (R0)

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