To Protect or Not to Protect? In Lower Extremity Angioplasty Procedures, “Why Not?” is the Question
PROTECT does, though, add another single-center experience to a growing list of similar reports that share like experiences and conclusions: (1) distal emboli are very common during lower extremity percutaneous peripheral interventions (PPI), (2) the use of an embolie protection device (EPD) appears...
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| Veröffentlicht in: | Journal of endovascular therapy 2008-06, Vol.15 (3), p.277-282 |
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| container_title | Journal of endovascular therapy |
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| creator | Allie, David E. |
| description | PROTECT does, though, add another single-center experience to a growing list of similar reports that share like experiences and conclusions: (1) distal emboli are very common during lower extremity percutaneous peripheral interventions (PPI), (2) the use of an embolie protection device (EPD) appears safe and at least feasible during lower extremity PPI, and (3) more clinical data need to be accumulated to fully define the clinical entity of distal embolization and the true role of EPDs during lower extremity PPI. Further complicating the issue at this time is the fact that we have no "gold standard" technology corresponding to cardiac nuclear or magnetic resonance imaging to assess pedal microcirculatory function.\n We have found preprocedure CTA lesion morphology to be helpful in identifying lesions at high risk for distal embolization. |
| doi_str_mv | 10.1583/08-2397C.1 |
| format | Article |
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Further complicating the issue at this time is the fact that we have no "gold standard" technology corresponding to cardiac nuclear or magnetic resonance imaging to assess pedal microcirculatory function.\n We have found preprocedure CTA lesion morphology to be helpful in identifying lesions at high risk for distal embolization.</description><identifier>ISSN: 1526-6028</identifier><identifier>EISSN: 1545-1550</identifier><identifier>DOI: 10.1583/08-2397C.1</identifier><identifier>PMID: 18540706</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Acute coronary syndromes ; Angioplasty, Balloon - adverse effects ; Angioplasty, Balloon - instrumentation ; Armed forces ; Atherectomy - adverse effects ; Atherectomy - instrumentation ; Blood clots ; Cardiology ; Disability insurance ; Embolism - etiology ; Embolism - pathology ; Embolism - prevention & control ; Equipment Design ; Filtration - instrumentation ; Humans ; Immunization ; Lower Extremity - blood supply ; Medical imaging ; Patient Selection ; Patients ; Pension plans ; Peripheral Vascular Diseases - pathology ; Peripheral Vascular Diseases - surgery ; Peripheral Vascular Diseases - therapy ; Risk ; Risk Factors ; Stents ; Treatment Outcome</subject><ispartof>Journal of endovascular therapy, 2008-06, Vol.15 (3), p.277-282</ispartof><rights>2008 SAGE Publications</rights><rights>Copyright Alliance Communications Group, A Division of Allen Press, Inc. 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In Lower Extremity Angioplasty Procedures, “Why Not?” is the Question</title><title>Journal of endovascular therapy</title><addtitle>J Endovasc Ther</addtitle><description>PROTECT does, though, add another single-center experience to a growing list of similar reports that share like experiences and conclusions: (1) distal emboli are very common during lower extremity percutaneous peripheral interventions (PPI), (2) the use of an embolie protection device (EPD) appears safe and at least feasible during lower extremity PPI, and (3) more clinical data need to be accumulated to fully define the clinical entity of distal embolization and the true role of EPDs during lower extremity PPI. Further complicating the issue at this time is the fact that we have no "gold standard" technology corresponding to cardiac nuclear or magnetic resonance imaging to assess pedal microcirculatory function.\n We have found preprocedure CTA lesion morphology to be helpful in identifying lesions at high risk for distal embolization.</description><subject>Acute coronary syndromes</subject><subject>Angioplasty, Balloon - adverse effects</subject><subject>Angioplasty, Balloon - instrumentation</subject><subject>Armed forces</subject><subject>Atherectomy - adverse effects</subject><subject>Atherectomy - instrumentation</subject><subject>Blood clots</subject><subject>Cardiology</subject><subject>Disability insurance</subject><subject>Embolism - etiology</subject><subject>Embolism - pathology</subject><subject>Embolism - prevention & control</subject><subject>Equipment Design</subject><subject>Filtration - instrumentation</subject><subject>Humans</subject><subject>Immunization</subject><subject>Lower Extremity - blood supply</subject><subject>Medical imaging</subject><subject>Patient Selection</subject><subject>Patients</subject><subject>Pension plans</subject><subject>Peripheral Vascular Diseases - pathology</subject><subject>Peripheral Vascular Diseases - surgery</subject><subject>Peripheral Vascular Diseases - therapy</subject><subject>Risk</subject><subject>Risk Factors</subject><subject>Stents</subject><subject>Treatment Outcome</subject><issn>1526-6028</issn><issn>1545-1550</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNpdkdtKAzEQhoMoHqo3PoAEL_TG1Zlks5u9KlI8QfEABS_DdpPWlXZTkyzaOx9EX84nMbUeQBiYYfj4Z_h_QnYRjlFIfgIyYbzIe8e4QjZRpCJBIWB1MbMsyYDJDbLl_SMAQ4a4TjZQihRyyDbJeGDprbPBVIFaR69toOF306VXDe3bZ-Po2UtwZlqHOT1txrWdTUof58hVRrfO-CP68fp2_zBfKHQ_Xt9p7Wl4MPSuNT7Uttkma6Ny4s3Od--QwfnZoHeZ9G8urnqn_WTGMhmSoTQ6ZxWkXPBRVggYMsZ5hanMuda80gVLq1GqCzHiGXCUqDVjBcsNlgCcd8jBUnbm7NPitJrWvjKTSdkY23qVYxatSSGC-__AR9u6Jr6mokUIIlaE9r6hdjg1Ws1cPS3dXP3YF4HDJeDLsflTQFCLYBRI9RWMQv4JLs58dw</recordid><startdate>200806</startdate><enddate>200806</enddate><creator>Allie, David E.</creator><general>SAGE Publications</general><general>Allen Press Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>200806</creationdate><title>To Protect or Not to Protect? 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In Lower Extremity Angioplasty Procedures, “Why Not?” is the Question</atitle><jtitle>Journal of endovascular therapy</jtitle><addtitle>J Endovasc Ther</addtitle><date>2008-06</date><risdate>2008</risdate><volume>15</volume><issue>3</issue><spage>277</spage><epage>282</epage><pages>277-282</pages><issn>1526-6028</issn><eissn>1545-1550</eissn><abstract>PROTECT does, though, add another single-center experience to a growing list of similar reports that share like experiences and conclusions: (1) distal emboli are very common during lower extremity percutaneous peripheral interventions (PPI), (2) the use of an embolie protection device (EPD) appears safe and at least feasible during lower extremity PPI, and (3) more clinical data need to be accumulated to fully define the clinical entity of distal embolization and the true role of EPDs during lower extremity PPI. Further complicating the issue at this time is the fact that we have no "gold standard" technology corresponding to cardiac nuclear or magnetic resonance imaging to assess pedal microcirculatory function.\n We have found preprocedure CTA lesion morphology to be helpful in identifying lesions at high risk for distal embolization.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>18540706</pmid><doi>10.1583/08-2397C.1</doi><tpages>6</tpages></addata></record> |
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| identifier | ISSN: 1526-6028 |
| ispartof | Journal of endovascular therapy, 2008-06, Vol.15 (3), p.277-282 |
| issn | 1526-6028 1545-1550 |
| language | eng |
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| source | MEDLINE; SAGE Complete; Alma/SFX Local Collection |
| subjects | Acute coronary syndromes Angioplasty, Balloon - adverse effects Angioplasty, Balloon - instrumentation Armed forces Atherectomy - adverse effects Atherectomy - instrumentation Blood clots Cardiology Disability insurance Embolism - etiology Embolism - pathology Embolism - prevention & control Equipment Design Filtration - instrumentation Humans Immunization Lower Extremity - blood supply Medical imaging Patient Selection Patients Pension plans Peripheral Vascular Diseases - pathology Peripheral Vascular Diseases - surgery Peripheral Vascular Diseases - therapy Risk Risk Factors Stents Treatment Outcome |
| title | To Protect or Not to Protect? In Lower Extremity Angioplasty Procedures, “Why Not?” is the Question |
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