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Review
. 2014 Dec 17:8:1-10.
doi: 10.2147/MDER.S50594. eCollection 2015.

Atherectomy devices: technology update

Nuri I Akkus  1 , Abdulrahman Abdulbaki  1 , Enrique Jimenez  2 , Neeraj Tandon  2
Affiliations
Review

Atherectomy devices: technology update

Nuri I Akkus et al. Med Devices (Auckl). .

Abstract

Atherectomy is a procedure which is performed to remove atherosclerotic plaque from diseased arteries. Atherosclerotic plaques are localized in either coronary or peripheral arterial vasculature and may have different characteristics depending on the texture of the plaque. Atherectomy has been used effectively in treatment of both coronary and peripheral arterial disease. Atherectomy devices are designed differently to either cut, shave, sand, or vaporize these plaques and have different indications. In this article, current atherectomy devices are reviewed.

Keywords: coronary artery disease; peripheral arterial disease.

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Figures

Figure 1
Figure 1
SilverHawk atherectomy catheter. Notes: (A) shows the catheter; (B) shows a close-up view of the tip of the catheter, cutter, and nosecone. Reproduced from: Radvany MG, Kiesz RS. Plaque Excision in Management of Lower Extremity Peripheral Arterial Disease with the SilverHawk Atherectomy Catheter. Semin Intervent Radiol. 2008;25(1):11–19. Images courtesy of Covidien plc, Peripheral Vascular Division, Mansfield, MA, USA.
Figure 2
Figure 2
Angiogram showing occluded left superficial femoral artery (arrow).
Figure 3
Figure 3
Angiogram showing no significant disease in left superficial femoral artery (arrow) after SilverHawk atherectomy and balloon angioplasty.
Figure 4
Figure 4
Angiogram showing pseudoaneurysm (arrow) formation in proximal left superficial femoral artery.
Figure 5
Figure 5
Rotational atherectomy burr. Notes: Image provided courtesy of Boston Scientific. © 2014 Boston Scientific Corporation or its affiliates. All rights reserved. Available from: http://www.bostonscientific.com/en-US/products/plaque-modification/rotablator-rotational-atherectomy-system.html.
Figure 6
Figure 6
Rotablator system. Notes: Image provided courtesy of Boston Scientific. © 2014 Boston Scientific Corporation or its affiliates. All rights reserved. Available from: http://www.bostonscientific.com/en-US/products/plaque-modification/rotablator-rotational-atherectomy-system.html.
Figure 7
Figure 7
JETSTREAM® expandable catheters. Notes: Image provided courtesy of Boston Scientific. © 2014 Boston Scientific Corporation or its affiliates. All rights reserved. Available from: http://www.medrad.com/en-us/info/products/Pages/jetstream-xc-systems.aspx.
Figure 8
Figure 8
Classic, solid, and micro solid crowns of the Orbital Atherectomy System. Notes: Copyright © 2014 Cardiovascular Systems Inc. All Rights Reserved. Reproduced from: Optimal Versatility: A Crowning Achievement [webpage on the Internet]. Saint Paul: Cardiovascular Systems Inc.; 2014. Available from: http://www.csi360.com/peripheral-stealth-360-peripheral-orbital-atherectomy-system-crowns.
See this image and copyright information in PMC

References

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