Skip to main content

Rotational atherectomy: current use in vascular disease with specific focus on the Simpson device

  • Chapter
Interventional Techniques in Cardiovascular Medicine

Part of the book series: Developments in Cardiovascular Medicine ((DICM,volume 119))

Abstract

The percutaneous treatment of vascular disease with balloon angioplasty may be limited by inability to cross a lesion, acute re-occlusion and the relatively high long-term restenosis rate after a primarily successful inter-vantion [1, 2], For these reasons, new techniques using either mechanical or other energy forms such as laser [3, 4], high-frequency [5] or ultrasound [6], which attempt to remove material are being developed. In this report we will focus on rotational atherectomy and devices developed with the goal of removing obstructing plaque material. In particular, we will focus on our results with the Simpson directional atherectomy catheter and its use in peripheral vascular disease.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 39.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Zeitler E, Richter EI, Roth FJ, Schoop W (1983) Results of percutaneous transluminal angioplasty. Radiology 146: 57–60.

    PubMed  CAS  Google Scholar 

  2. Krepel VM, van Andel GJ, van Erp WFM, Breslau PJ (1985) Percutaneous transluminal angioplasty of the femoropopliteal artery: initial and long-term results. Radiology 156: 325–328.

    PubMed  CAS  Google Scholar 

  3. Cumberland DC,Sanborn TA ,Tayler DI,et al. (1986) Percutaneous laser thermal angioplasty: initial clinical results with a laser probe in total peripheral artery occlusions. Lancet 1: 1457–1459.

    Article  PubMed  CAS  Google Scholar 

  4. Sanborn TA ,Cumberland DC ,Greenfield AJ ,et al. (1988) Percutaneous laser thermal angioplasty: initial results and 1-year follow-up in 129 femoropopliteal lesions. Radiology 168: 121–125.

    PubMed  CAS  Google Scholar 

  5. Hombach V ,Höher M ,Arbikd O ,et al. (1987) Die Hochfrequenzangioplastie-eine neue Methode zur Rekanalisation verschlossener arterieller Gefäße. CorVas 2: 67.

    Google Scholar 

  6. Siegel RJ ,Cumberland DC ,Myler RK and DonMichanel TA (1989) Percutaneous ultrasound angioplasty: initial clinical experience Lancet II: 772–774

    Article  Google Scholar 

  7. Kaltenbach M ,Vallbracht C (1987) Rotationsangioplastik-ein neues Katheterverfahren. Fortschr Med 105: 412–414.

    PubMed  CAS  Google Scholar 

  8. Vallbracht C ,Liermann D ,Prignitz I et al. (1988) Results of low speed rotational angioplasty for chronic peripheral occlusions. Am J Cardiol 62: 935–940.

    Article  PubMed  CAS  Google Scholar 

  9. Kensey KR (1987) Recanalization of obstructed arteries with a flexible ,rotating tip catheter. Radiology 165: 387–389.

    PubMed  CAS  Google Scholar 

  10. Snyder SO, Wheeler JR, Gregory RT et al. (1988) The Kensey catheter: preliminary results with a transluminal atherectomy tool. J. Vasc Surg 8(4): 541–543.

    PubMed  Google Scholar 

  11. Ritchie JL, Hansen DD, Vracho R, Auth DC (1986) Mechanical thrombolysis: a new rotational catheter approach for acute thrombi. Circulation 73: 1006–1012.

    Article  PubMed  CAS  Google Scholar 

  12. Ahn SS, Auth D, Marcus DR, Moore WS (1988) Removal of focal atheromatous lesions by angioscopically guided high-speed rotary atherectomy. J Vasc Surg 7: 292.

    PubMed  CAS  Google Scholar 

  13. Erbel R, O’Neil W, Auth D et al. (1989) Hochfrequenz-Rotations-Atherektomiebei koronarer Herzkrankheit. Dtsch Med Wschr 114: 487–495.

    Article  PubMed  CAS  Google Scholar 

  14. Fourrier JL, Bertrand ME, Auth D et al. (1989) Percutaneous coronary rotational angioplasty in humans: preliminary report. JACC 14: 1278–1282.

    PubMed  CAS  Google Scholar 

  15. Tierstein PS, Ginsburg R, Warth D et al. (1990) Complications of human coronary rotablation. JACC 2: 57A, abstract.

    Google Scholar 

  16. Zacca N, Heibig J, Harris S, Kleiman N et al. (1990) Percutaneous coronary high speed rotational atherectomy: new, but how safe? JACC 15: 58A, abstr.

    Google Scholar 

  17. Niazi KA, Brodsky M, Friedman HZ et al. (1990) Restenosis after successful mechanical rotary atherectomy with the Auth rotablator. JACC 15: 57A, abstr.

    Google Scholar 

  18. Stack RS, Quigley PJ, Sketch MH et al. (1989) Treatment of coronary artery disease with the transluminal extraction-endarterectomy catheter: initial results of a multicenter study. Circulation II: 583.

    Google Scholar 

  19. Simpson JB, Selmon MR, Robertson GC et al. (1988) Transluminal atherectomy for occlusive peripheral vascular disease. Am J Cardiol 61 (14): 96G–101G.

    Article  PubMed  CAS  Google Scholar 

  20. Simpson JB, Zimmerman JJ, Selmon MR et al. (1986) Transluminal atherectomy: a new approach to the treatment of atheroscletoric vascular disease. Angiology 37: 409–410.

    Google Scholar 

  21. Höfling B, von Pölnitz A, Backa D et al. (1988) A new technique for non-operative removal of obstructive plaques in peripheral vascular disease. Lancet 1: 384–386.

    Article  PubMed  Google Scholar 

  22. von Pölnitz A, Nerlich A, Berger H, Höfling B (1990) Percutaneous peripheral atherectomy: angiographic and clinical follow-up of 60 patients. JACC 15: 682–688.

    Google Scholar 

  23. Simpson JB, Rowe M, Robertson G et al. (1990) Directional coronary atherectomy: success and complication rates and outcome predictors. JACC 15(2): 196A.

    Google Scholar 

  24. Hinohara T, Rowe M, Sipperly E et al. (1990) Restenosis following directional coronary atherectomy of native coronary arteries. JACC 15(2): 196A.

    Google Scholar 

  25. von Pölnitz A, Backa D, Remberger K et al. (1989) Restenosis after atherectomy shows increased intimal hyperplasia as compared to primary lesions. J of Vas Med and Biol 1: 283–287.

    Google Scholar 

  26. Johnson DE, Hinohara T, Selmon M et al. (1990) Primary peripheral arterial stenoses and restenoses excised by transluminal atherectomy: a histopathologic study. JACC 15(2): 419–425.

    PubMed  CAS  Google Scholar 

  27. Schinko I, Höfling B, von Pölnitz A, Bauriedel G, Welsch U (1990) Electronmicroscopic evaluation of primary and restenostic lesions after percutaneous atherectomy. JACC 15(2): 254A.

    Google Scholar 

  28. Dartsch PC, Bauriedel G, Schinko I et al. (1989) Cell constitution and characteristics of human atherosclerotic plaques selectively removed by percutaneous atherectomy. Athero sclerosis 80: 149–157.

    CAS  Google Scholar 

  29. Bauriedel G, Dartsch PC, Voisard R et al. (1989) Selective percutaneous biopsy of atheromatous plaque tissue for cell culture. Basic Res Cardiol 84: 326–331.

    Article  PubMed  CAS  Google Scholar 

  30. Dartsch PC, Voisard P, Bauriedel G et al. (1990) Growth characteristics and cytoskeletal organization of cultured smooth muscle cells from human primary stenosing and reste-nosing lesions. Arteriosclerosis 10: 62–75.

    Article  PubMed  CAS  Google Scholar 

  31. Höfling B, von Pölnitz A, Bauriedel G et al. (1989) Angioscopically guided percutaneous atherectomy. Am J of Cardiac Imaging 3: 20–26.

    Google Scholar 

Download references

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1991 Springer Science+Business Media Dordrecht

About this chapter

Cite this chapter

Höfling, B., von Pölnitz, A. (1991). Rotational atherectomy: current use in vascular disease with specific focus on the Simpson device. In: Hombach, V., Kochs, M., Camm, A.J. (eds) Interventional Techniques in Cardiovascular Medicine. Developments in Cardiovascular Medicine, vol 119. Springer, Dordrecht. https://doi.org/10.1007/978-94-011-3802-4_14

Download citation

  • DOI: https://doi.org/10.1007/978-94-011-3802-4_14

  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-94-010-5691-5

  • Online ISBN: 978-94-011-3802-4

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics