Atherectomy. Early use of three different methods
The authors report their initial experience in 52 patients with three different techniques of peripheral artery atherectomy--the Tracwright (Kensey), used in 19 patients, the Simpson AtheroCath, used in 19 patients and the transluminal extraction catheter, used in 14 patients. The indications for at...
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| Veröffentlicht in: | Canadian journal of surgery 1992-06, Vol.35 (3), p.242-245 |
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| container_title | Canadian journal of surgery |
| container_volume | 35 |
| creator | Reid, J D Hsiang, Y N Doyle, D L Sladen, J G Fry, P D Machan, L S Chipperfield, P Marsh, J I Harrison, P B |
| description | The authors report their initial experience in 52 patients with three different techniques of peripheral artery atherectomy--the Tracwright (Kensey), used in 19 patients, the Simpson AtheroCath, used in 19 patients and the transluminal extraction catheter, used in 14 patients. The indications for atherectomy were claudication in 42 (80%) and limb-threatening ischemia in 10 (19%). There were no deaths. Complications included three arterial perforations, one thrombosis and one groin hematoma requiring operative evacuation. There were no distal embolizations. Atherectomy was initially unsuccessful in 15 (29%) patients. For the successfully completed procedures, the 1-year primary patency rates were as follows: Tracwright (Kensey) catheter 56%, Simpson catheter (63%) and transluminal extraction catheter (0%). Use of subsequent nonoperative procedures on recurrent stenoses produced secondary patency rates of 77% for the Tracwright (Kensey) technique, 80% for the Simpson catheter technique and 78% for the transluminal extraction catheter technique. The authors conclude that their early results justify further evaluation of these three techniques. Use of the transluminal extraction catheter is associated with higher rates of occlusion and restenosis. |
| format | Article |
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Early use of three different methods</title><source>MEDLINE</source><source>EZB-FREE-00999 freely available EZB journals</source><source>Alma/SFX Local Collection</source><creator>Reid, J D ; Hsiang, Y N ; Doyle, D L ; Sladen, J G ; Fry, P D ; Machan, L S ; Chipperfield, P ; Marsh, J I ; Harrison, P B</creator><creatorcontrib>Reid, J D ; Hsiang, Y N ; Doyle, D L ; Sladen, J G ; Fry, P D ; Machan, L S ; Chipperfield, P ; Marsh, J I ; Harrison, P B</creatorcontrib><description>The authors report their initial experience in 52 patients with three different techniques of peripheral artery atherectomy--the Tracwright (Kensey), used in 19 patients, the Simpson AtheroCath, used in 19 patients and the transluminal extraction catheter, used in 14 patients. The indications for atherectomy were claudication in 42 (80%) and limb-threatening ischemia in 10 (19%). There were no deaths. Complications included three arterial perforations, one thrombosis and one groin hematoma requiring operative evacuation. There were no distal embolizations. Atherectomy was initially unsuccessful in 15 (29%) patients. For the successfully completed procedures, the 1-year primary patency rates were as follows: Tracwright (Kensey) catheter 56%, Simpson catheter (63%) and transluminal extraction catheter (0%). Use of subsequent nonoperative procedures on recurrent stenoses produced secondary patency rates of 77% for the Tracwright (Kensey) technique, 80% for the Simpson catheter technique and 78% for the transluminal extraction catheter technique. The authors conclude that their early results justify further evaluation of these three techniques. Use of the transluminal extraction catheter is associated with higher rates of occlusion and restenosis.</description><identifier>ISSN: 0008-428X</identifier><identifier>PMID: 1535542</identifier><language>eng</language><publisher>Canada</publisher><subject>Aged ; Aged, 80 and over ; Angioplasty, Balloon - instrumentation ; Angioplasty, Balloon - methods ; Angioplasty, Balloon - standards ; Angioplasty, Laser - instrumentation ; Angioplasty, Laser - methods ; Angioplasty, Laser - standards ; Arterial Occlusive Diseases - complications ; Arterial Occlusive Diseases - pathology ; Arterial Occlusive Diseases - therapy ; British Columbia - epidemiology ; Female ; Follow-Up Studies ; Hospitals, University ; Humans ; Intermittent Claudication - etiology ; Ischemia - etiology ; Male ; Middle Aged ; Postoperative Complications - epidemiology ; Postoperative Complications - etiology ; Recurrence ; Treatment Outcome ; Vascular Patency</subject><ispartof>Canadian journal of surgery, 1992-06, Vol.35 (3), p.242-245</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/1535542$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Reid, J D</creatorcontrib><creatorcontrib>Hsiang, Y N</creatorcontrib><creatorcontrib>Doyle, D L</creatorcontrib><creatorcontrib>Sladen, J G</creatorcontrib><creatorcontrib>Fry, P D</creatorcontrib><creatorcontrib>Machan, L S</creatorcontrib><creatorcontrib>Chipperfield, P</creatorcontrib><creatorcontrib>Marsh, J I</creatorcontrib><creatorcontrib>Harrison, P B</creatorcontrib><title>Atherectomy. Early use of three different methods</title><title>Canadian journal of surgery</title><addtitle>Can J Surg</addtitle><description>The authors report their initial experience in 52 patients with three different techniques of peripheral artery atherectomy--the Tracwright (Kensey), used in 19 patients, the Simpson AtheroCath, used in 19 patients and the transluminal extraction catheter, used in 14 patients. The indications for atherectomy were claudication in 42 (80%) and limb-threatening ischemia in 10 (19%). There were no deaths. Complications included three arterial perforations, one thrombosis and one groin hematoma requiring operative evacuation. There were no distal embolizations. Atherectomy was initially unsuccessful in 15 (29%) patients. For the successfully completed procedures, the 1-year primary patency rates were as follows: Tracwright (Kensey) catheter 56%, Simpson catheter (63%) and transluminal extraction catheter (0%). Use of subsequent nonoperative procedures on recurrent stenoses produced secondary patency rates of 77% for the Tracwright (Kensey) technique, 80% for the Simpson catheter technique and 78% for the transluminal extraction catheter technique. The authors conclude that their early results justify further evaluation of these three techniques. Use of the transluminal extraction catheter is associated with higher rates of occlusion and restenosis.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Angioplasty, Balloon - instrumentation</subject><subject>Angioplasty, Balloon - methods</subject><subject>Angioplasty, Balloon - standards</subject><subject>Angioplasty, Laser - instrumentation</subject><subject>Angioplasty, Laser - methods</subject><subject>Angioplasty, Laser - standards</subject><subject>Arterial Occlusive Diseases - complications</subject><subject>Arterial Occlusive Diseases - pathology</subject><subject>Arterial Occlusive Diseases - therapy</subject><subject>British Columbia - epidemiology</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Hospitals, University</subject><subject>Humans</subject><subject>Intermittent Claudication - etiology</subject><subject>Ischemia - etiology</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Postoperative Complications - epidemiology</subject><subject>Postoperative Complications - etiology</subject><subject>Recurrence</subject><subject>Treatment Outcome</subject><subject>Vascular Patency</subject><issn>0008-428X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1992</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNotz89LwzAYxvEclDmnf4LQk7fKm19Nchxj6mDgRcFbSZo3tNKuNUkP_e8d2NNz-fDA94ZsAUCXgunvO3Kf0g8ABS7Mhmyo5FIKtiV0n1uM2ORxWF6Ko439UswJizEUuY2Ihe9CuIJLLgbM7ejTA7kNtk_4uO6OfL0ePw_v5fnj7XTYn8uJMppLxrhSgFpp7yx1nklhHJqqEZVj0gA2ldFcglPUKVeBN0Hz4EFR45kylu_I8__vFMffGVOuhy412Pf2guOcasWBq0qIK3xa4ewG9PUUu8HGpV4b-R88UEro</recordid><startdate>199206</startdate><enddate>199206</enddate><creator>Reid, J D</creator><creator>Hsiang, Y N</creator><creator>Doyle, D L</creator><creator>Sladen, J G</creator><creator>Fry, P D</creator><creator>Machan, L S</creator><creator>Chipperfield, P</creator><creator>Marsh, J I</creator><creator>Harrison, P B</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>199206</creationdate><title>Atherectomy. Early use of three different methods</title><author>Reid, J D ; Hsiang, Y N ; Doyle, D L ; Sladen, J G ; Fry, P D ; Machan, L S ; Chipperfield, P ; Marsh, J I ; Harrison, P B</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p121t-223770e878dba1bd2549be96c46b2590ec698350b71b7b60d9f83fd0719d279a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1992</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Angioplasty, Balloon - instrumentation</topic><topic>Angioplasty, Balloon - methods</topic><topic>Angioplasty, Balloon - standards</topic><topic>Angioplasty, Laser - instrumentation</topic><topic>Angioplasty, Laser - methods</topic><topic>Angioplasty, Laser - standards</topic><topic>Arterial Occlusive Diseases - complications</topic><topic>Arterial Occlusive Diseases - pathology</topic><topic>Arterial Occlusive Diseases - therapy</topic><topic>British Columbia - epidemiology</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Hospitals, University</topic><topic>Humans</topic><topic>Intermittent Claudication - etiology</topic><topic>Ischemia - etiology</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Postoperative Complications - epidemiology</topic><topic>Postoperative Complications - etiology</topic><topic>Recurrence</topic><topic>Treatment Outcome</topic><topic>Vascular Patency</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Reid, J D</creatorcontrib><creatorcontrib>Hsiang, Y N</creatorcontrib><creatorcontrib>Doyle, D L</creatorcontrib><creatorcontrib>Sladen, J G</creatorcontrib><creatorcontrib>Fry, P D</creatorcontrib><creatorcontrib>Machan, L S</creatorcontrib><creatorcontrib>Chipperfield, P</creatorcontrib><creatorcontrib>Marsh, J I</creatorcontrib><creatorcontrib>Harrison, P B</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Canadian journal of surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Reid, J D</au><au>Hsiang, Y N</au><au>Doyle, D L</au><au>Sladen, J G</au><au>Fry, P D</au><au>Machan, L S</au><au>Chipperfield, P</au><au>Marsh, J I</au><au>Harrison, P B</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Atherectomy. Early use of three different methods</atitle><jtitle>Canadian journal of surgery</jtitle><addtitle>Can J Surg</addtitle><date>1992-06</date><risdate>1992</risdate><volume>35</volume><issue>3</issue><spage>242</spage><epage>245</epage><pages>242-245</pages><issn>0008-428X</issn><abstract>The authors report their initial experience in 52 patients with three different techniques of peripheral artery atherectomy--the Tracwright (Kensey), used in 19 patients, the Simpson AtheroCath, used in 19 patients and the transluminal extraction catheter, used in 14 patients. The indications for atherectomy were claudication in 42 (80%) and limb-threatening ischemia in 10 (19%). There were no deaths. Complications included three arterial perforations, one thrombosis and one groin hematoma requiring operative evacuation. There were no distal embolizations. Atherectomy was initially unsuccessful in 15 (29%) patients. For the successfully completed procedures, the 1-year primary patency rates were as follows: Tracwright (Kensey) catheter 56%, Simpson catheter (63%) and transluminal extraction catheter (0%). Use of subsequent nonoperative procedures on recurrent stenoses produced secondary patency rates of 77% for the Tracwright (Kensey) technique, 80% for the Simpson catheter technique and 78% for the transluminal extraction catheter technique. The authors conclude that their early results justify further evaluation of these three techniques. Use of the transluminal extraction catheter is associated with higher rates of occlusion and restenosis.</abstract><cop>Canada</cop><pmid>1535542</pmid><tpages>4</tpages></addata></record> |
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| ispartof | Canadian journal of surgery, 1992-06, Vol.35 (3), p.242-245 |
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| subjects | Aged Aged, 80 and over Angioplasty, Balloon - instrumentation Angioplasty, Balloon - methods Angioplasty, Balloon - standards Angioplasty, Laser - instrumentation Angioplasty, Laser - methods Angioplasty, Laser - standards Arterial Occlusive Diseases - complications Arterial Occlusive Diseases - pathology Arterial Occlusive Diseases - therapy British Columbia - epidemiology Female Follow-Up Studies Hospitals, University Humans Intermittent Claudication - etiology Ischemia - etiology Male Middle Aged Postoperative Complications - epidemiology Postoperative Complications - etiology Recurrence Treatment Outcome Vascular Patency |
| title | Atherectomy. Early use of three different methods |
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