One-Year Outcome of Percutaneous Rotational Atherectomy with Aspiration in Infrainguinal Peripheral Arterial Occlusive Disease: The Multicenter Pathway PVD Trial
Purpose: To report a safety and efficacy study of a novel rotational atherectomy system with aspiration capabilities for the treatment of infrainguinal arterial lesions. Methods: From February 2006 to January 2007, 172 patients (88 women; mean age 72 years, range 51–93; 47% diabetics) with Rutherfor...
Gespeichert in:
Veröffentlicht in: | Journal of endovascular therapy 2009-12, Vol.16 (6), p.653-662 |
---|---|
Hauptverfasser: | , , , , , , , , , , , , , , , |
Format: | Artikel |
Sprache: | eng |
Schlagworte: | |
Online-Zugang: | Volltext |
Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
container_end_page | 662 |
---|---|
container_issue | 6 |
container_start_page | 653 |
container_title | Journal of endovascular therapy |
container_volume | 16 |
creator | Zeller, Thomas Krankenberg, Hans Steinkamp, Hermann Rastan, Aljoscha Sixt, Sebastian Schmidt, Andrej Sievert, Horst Minar, Erich Bosiers, Marc Peeters, Patrick Balzer, Jörn O. Gray, William Tübler, Thilo Wissgott, Christian Schwarzwälder, Uwe Scheinert, Dierk |
description | Purpose:
To report a safety and efficacy study of a novel rotational atherectomy system with aspiration capabilities for the treatment of infrainguinal arterial lesions.
Methods:
From February 2006 to January 2007, 172 patients (88 women; mean age 72 years, range 51–93; 47% diabetics) with Rutherford class 1–5 lower limb ischemia were enrolled at 9 study sites. Inclusion criteria were atherosclerotic stenoses >70% and up to 10 cm long in the femoropopliteal segment or up to 3 cm long in the infrapopliteal vessels (reference vessel diameter 3.0–5.0 mm). In the study, 210 lesions (mean length 2.7 cm) were treated with the Pathway PV System, including total occlusions (31%), lesions with a moderate to high calcium score (51%), and post-angioplasty (non-stent) restenotic lesions (15%). The primary study endpoint was the 30-day major adverse event (MAE) rate.
Results:
Device success was 99% (208/210 lesions). MAE at 30 days was 1% (2 preplanned amputations). Clinically driven target lesion revascularization rates at 6 and 12 months were 15% (25/172) and 26% (42/162), respectively. The 1-year restenosis rate was 38.2% based on duplex imaging. The ankle-brachial index increased significantly from 0.59±0.21 at baseline to 0.82±0.27 (p |
doi_str_mv | 10.1583/09-2826.1 |
format | Article |
fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_734176446</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sage_id>10.1583_09-2826.1</sage_id><sourcerecordid>734176446</sourcerecordid><originalsourceid>FETCH-LOGICAL-c342t-d062260396972d66dbbb43bc54b60fac1cef278bf29e7edb9f3e79dcbd564ff53</originalsourceid><addsrcrecordid>eNpl0VtrFDEUB_BBLLZWH_wCEnxQfJiaZJLMpG9L66VQ2UVWwachyZx0U-ay5mLZj-M3bcZdKLRPOSG__EPOKYo3BJ8R3lSfsCxpQ8UZeVacEM54STjHz-eailJg2hwXL0O4xZgSSsiL4phIKTkhzUnxbzlC-RuUR8sUzTQAmixagTcpqhGmFNCPKaroplH1aBE34MHEadihOxc3aBG2zv8_RW5EV6P1yo03yc04h7ht9vM9H_MmF0tj-hTcX0CXLoAKcI7WG0DfUx-dgTErtFJxc6d2aPXrEq3nS6-KI6v6AK8P62nx88vn9cW38nr59epicV2aitFYdlhQKnAlhaxpJ0SntWaVNpxpga0yxICldaMtlVBDp6WtoJad0R0XzFpenRYf9rlbP_1JEGI7uGCg7_d9aOuKkVowJrJ890jeTsnnP4c2t5dUTNAZfdwj46cQPNh2692g_K4luJ2n1mLZzlNrSbZvD4FJD9A9yMOYMni_B0HdwMNrT5PuAURzoJM</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>211134626</pqid></control><display><type>article</type><title>One-Year Outcome of Percutaneous Rotational Atherectomy with Aspiration in Infrainguinal Peripheral Arterial Occlusive Disease: The Multicenter Pathway PVD Trial</title><source>MEDLINE</source><source>SAGE Complete</source><source>Alma/SFX Local Collection</source><creator>Zeller, Thomas ; Krankenberg, Hans ; Steinkamp, Hermann ; Rastan, Aljoscha ; Sixt, Sebastian ; Schmidt, Andrej ; Sievert, Horst ; Minar, Erich ; Bosiers, Marc ; Peeters, Patrick ; Balzer, Jörn O. ; Gray, William ; Tübler, Thilo ; Wissgott, Christian ; Schwarzwälder, Uwe ; Scheinert, Dierk</creator><creatorcontrib>Zeller, Thomas ; Krankenberg, Hans ; Steinkamp, Hermann ; Rastan, Aljoscha ; Sixt, Sebastian ; Schmidt, Andrej ; Sievert, Horst ; Minar, Erich ; Bosiers, Marc ; Peeters, Patrick ; Balzer, Jörn O. ; Gray, William ; Tübler, Thilo ; Wissgott, Christian ; Schwarzwälder, Uwe ; Scheinert, Dierk</creatorcontrib><description>Purpose:
To report a safety and efficacy study of a novel rotational atherectomy system with aspiration capabilities for the treatment of infrainguinal arterial lesions.
Methods:
From February 2006 to January 2007, 172 patients (88 women; mean age 72 years, range 51–93; 47% diabetics) with Rutherford class 1–5 lower limb ischemia were enrolled at 9 study sites. Inclusion criteria were atherosclerotic stenoses >70% and up to 10 cm long in the femoropopliteal segment or up to 3 cm long in the infrapopliteal vessels (reference vessel diameter 3.0–5.0 mm). In the study, 210 lesions (mean length 2.7 cm) were treated with the Pathway PV System, including total occlusions (31%), lesions with a moderate to high calcium score (51%), and post-angioplasty (non-stent) restenotic lesions (15%). The primary study endpoint was the 30-day major adverse event (MAE) rate.
Results:
Device success was 99% (208/210 lesions). MAE at 30 days was 1% (2 preplanned amputations). Clinically driven target lesion revascularization rates at 6 and 12 months were 15% (25/172) and 26% (42/162), respectively. The 1-year restenosis rate was 38.2% based on duplex imaging. The ankle-brachial index increased significantly from 0.59±0.21 at baseline to 0.82±0.27 (p<0.05) at 12 months. Mean Rutherford class improved from 3.0±0.9 at baseline to 1.5±1.3 at 1 year (p<0.05).
Conclusion:
The use of the Pathway PV System in atherosclerotic lesions appears to be safe and effective in improving stenosis severity, even in the presence of challenging lesion conditions. Vessel patency following intervention appears to be good up to 12 months, and these results translate into clinical benefit.</description><identifier>ISSN: 1526-6028</identifier><identifier>EISSN: 1545-1550</identifier><identifier>DOI: 10.1583/09-2826.1</identifier><identifier>PMID: 19995118</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Aged ; Aged, 80 and over ; Amputation ; Angioplasty, Balloon ; Ankle - blood supply ; Arterial Occlusive Diseases - diagnosis ; Arterial Occlusive Diseases - physiopathology ; Arterial Occlusive Diseases - therapy ; Atherectomy - adverse effects ; Atherectomy - instrumentation ; Atherectomy - methods ; Blood Pressure ; Brachial Artery - physiopathology ; Clinical outcomes ; Constriction, Pathologic ; Equipment Design ; Europe ; Female ; Humans ; Limb Salvage ; Lower Extremity - blood supply ; Male ; Middle Aged ; Peripheral Vascular Diseases - diagnosis ; Peripheral Vascular Diseases - physiopathology ; Peripheral Vascular Diseases - therapy ; Prospective Studies ; Recurrence ; Severity of Illness Index ; Suction - adverse effects ; Suction - instrumentation ; Time Factors ; Treatment Outcome ; Ultrasonography, Doppler, Duplex ; Vascular surgery ; Vein & artery diseases</subject><ispartof>Journal of endovascular therapy, 2009-12, Vol.16 (6), p.653-662</ispartof><rights>2009 International Society of Endovascular Specialists</rights><rights>Copyright Allen Press Publishing Services Dec 2009</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c342t-d062260396972d66dbbb43bc54b60fac1cef278bf29e7edb9f3e79dcbd564ff53</citedby><cites>FETCH-LOGICAL-c342t-d062260396972d66dbbb43bc54b60fac1cef278bf29e7edb9f3e79dcbd564ff53</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1583/09-2826.1$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1583/09-2826.1$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,776,780,21798,27901,27902,43597,43598</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19995118$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Zeller, Thomas</creatorcontrib><creatorcontrib>Krankenberg, Hans</creatorcontrib><creatorcontrib>Steinkamp, Hermann</creatorcontrib><creatorcontrib>Rastan, Aljoscha</creatorcontrib><creatorcontrib>Sixt, Sebastian</creatorcontrib><creatorcontrib>Schmidt, Andrej</creatorcontrib><creatorcontrib>Sievert, Horst</creatorcontrib><creatorcontrib>Minar, Erich</creatorcontrib><creatorcontrib>Bosiers, Marc</creatorcontrib><creatorcontrib>Peeters, Patrick</creatorcontrib><creatorcontrib>Balzer, Jörn O.</creatorcontrib><creatorcontrib>Gray, William</creatorcontrib><creatorcontrib>Tübler, Thilo</creatorcontrib><creatorcontrib>Wissgott, Christian</creatorcontrib><creatorcontrib>Schwarzwälder, Uwe</creatorcontrib><creatorcontrib>Scheinert, Dierk</creatorcontrib><title>One-Year Outcome of Percutaneous Rotational Atherectomy with Aspiration in Infrainguinal Peripheral Arterial Occlusive Disease: The Multicenter Pathway PVD Trial</title><title>Journal of endovascular therapy</title><addtitle>J Endovasc Ther</addtitle><description>Purpose:
To report a safety and efficacy study of a novel rotational atherectomy system with aspiration capabilities for the treatment of infrainguinal arterial lesions.
Methods:
From February 2006 to January 2007, 172 patients (88 women; mean age 72 years, range 51–93; 47% diabetics) with Rutherford class 1–5 lower limb ischemia were enrolled at 9 study sites. Inclusion criteria were atherosclerotic stenoses >70% and up to 10 cm long in the femoropopliteal segment or up to 3 cm long in the infrapopliteal vessels (reference vessel diameter 3.0–5.0 mm). In the study, 210 lesions (mean length 2.7 cm) were treated with the Pathway PV System, including total occlusions (31%), lesions with a moderate to high calcium score (51%), and post-angioplasty (non-stent) restenotic lesions (15%). The primary study endpoint was the 30-day major adverse event (MAE) rate.
Results:
Device success was 99% (208/210 lesions). MAE at 30 days was 1% (2 preplanned amputations). Clinically driven target lesion revascularization rates at 6 and 12 months were 15% (25/172) and 26% (42/162), respectively. The 1-year restenosis rate was 38.2% based on duplex imaging. The ankle-brachial index increased significantly from 0.59±0.21 at baseline to 0.82±0.27 (p<0.05) at 12 months. Mean Rutherford class improved from 3.0±0.9 at baseline to 1.5±1.3 at 1 year (p<0.05).
Conclusion:
The use of the Pathway PV System in atherosclerotic lesions appears to be safe and effective in improving stenosis severity, even in the presence of challenging lesion conditions. Vessel patency following intervention appears to be good up to 12 months, and these results translate into clinical benefit.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Amputation</subject><subject>Angioplasty, Balloon</subject><subject>Ankle - blood supply</subject><subject>Arterial Occlusive Diseases - diagnosis</subject><subject>Arterial Occlusive Diseases - physiopathology</subject><subject>Arterial Occlusive Diseases - therapy</subject><subject>Atherectomy - adverse effects</subject><subject>Atherectomy - instrumentation</subject><subject>Atherectomy - methods</subject><subject>Blood Pressure</subject><subject>Brachial Artery - physiopathology</subject><subject>Clinical outcomes</subject><subject>Constriction, Pathologic</subject><subject>Equipment Design</subject><subject>Europe</subject><subject>Female</subject><subject>Humans</subject><subject>Limb Salvage</subject><subject>Lower Extremity - blood supply</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Peripheral Vascular Diseases - diagnosis</subject><subject>Peripheral Vascular Diseases - physiopathology</subject><subject>Peripheral Vascular Diseases - therapy</subject><subject>Prospective Studies</subject><subject>Recurrence</subject><subject>Severity of Illness Index</subject><subject>Suction - adverse effects</subject><subject>Suction - instrumentation</subject><subject>Time Factors</subject><subject>Treatment Outcome</subject><subject>Ultrasonography, Doppler, Duplex</subject><subject>Vascular surgery</subject><subject>Vein & artery diseases</subject><issn>1526-6028</issn><issn>1545-1550</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNpl0VtrFDEUB_BBLLZWH_wCEnxQfJiaZJLMpG9L66VQ2UVWwachyZx0U-ay5mLZj-M3bcZdKLRPOSG__EPOKYo3BJ8R3lSfsCxpQ8UZeVacEM54STjHz-eailJg2hwXL0O4xZgSSsiL4phIKTkhzUnxbzlC-RuUR8sUzTQAmixagTcpqhGmFNCPKaroplH1aBE34MHEadihOxc3aBG2zv8_RW5EV6P1yo03yc04h7ht9vM9H_MmF0tj-hTcX0CXLoAKcI7WG0DfUx-dgTErtFJxc6d2aPXrEq3nS6-KI6v6AK8P62nx88vn9cW38nr59epicV2aitFYdlhQKnAlhaxpJ0SntWaVNpxpga0yxICldaMtlVBDp6WtoJad0R0XzFpenRYf9rlbP_1JEGI7uGCg7_d9aOuKkVowJrJ890jeTsnnP4c2t5dUTNAZfdwj46cQPNh2692g_K4luJ2n1mLZzlNrSbZvD4FJD9A9yMOYMni_B0HdwMNrT5PuAURzoJM</recordid><startdate>200912</startdate><enddate>200912</enddate><creator>Zeller, Thomas</creator><creator>Krankenberg, Hans</creator><creator>Steinkamp, Hermann</creator><creator>Rastan, Aljoscha</creator><creator>Sixt, Sebastian</creator><creator>Schmidt, Andrej</creator><creator>Sievert, Horst</creator><creator>Minar, Erich</creator><creator>Bosiers, Marc</creator><creator>Peeters, Patrick</creator><creator>Balzer, Jörn O.</creator><creator>Gray, William</creator><creator>Tübler, Thilo</creator><creator>Wissgott, Christian</creator><creator>Schwarzwälder, Uwe</creator><creator>Scheinert, Dierk</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>AAYXX</scope><scope>CITATION</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>7X8</scope></search><sort><creationdate>200912</creationdate><title>One-Year Outcome of Percutaneous Rotational Atherectomy with Aspiration in Infrainguinal Peripheral Arterial Occlusive Disease: The Multicenter Pathway PVD Trial</title><author>Zeller, Thomas ; Krankenberg, Hans ; Steinkamp, Hermann ; Rastan, Aljoscha ; Sixt, Sebastian ; Schmidt, Andrej ; Sievert, Horst ; Minar, Erich ; Bosiers, Marc ; Peeters, Patrick ; Balzer, Jörn O. ; Gray, William ; Tübler, Thilo ; Wissgott, Christian ; Schwarzwälder, Uwe ; Scheinert, Dierk</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c342t-d062260396972d66dbbb43bc54b60fac1cef278bf29e7edb9f3e79dcbd564ff53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Amputation</topic><topic>Angioplasty, Balloon</topic><topic>Ankle - blood supply</topic><topic>Arterial Occlusive Diseases - diagnosis</topic><topic>Arterial Occlusive Diseases - physiopathology</topic><topic>Arterial Occlusive Diseases - therapy</topic><topic>Atherectomy - adverse effects</topic><topic>Atherectomy - instrumentation</topic><topic>Atherectomy - methods</topic><topic>Blood Pressure</topic><topic>Brachial Artery - physiopathology</topic><topic>Clinical outcomes</topic><topic>Constriction, Pathologic</topic><topic>Equipment Design</topic><topic>Europe</topic><topic>Female</topic><topic>Humans</topic><topic>Limb Salvage</topic><topic>Lower Extremity - blood supply</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Peripheral Vascular Diseases - diagnosis</topic><topic>Peripheral Vascular Diseases - physiopathology</topic><topic>Peripheral Vascular Diseases - therapy</topic><topic>Prospective Studies</topic><topic>Recurrence</topic><topic>Severity of Illness Index</topic><topic>Suction - adverse effects</topic><topic>Suction - instrumentation</topic><topic>Time Factors</topic><topic>Treatment Outcome</topic><topic>Ultrasonography, Doppler, Duplex</topic><topic>Vascular surgery</topic><topic>Vein & artery diseases</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Zeller, Thomas</creatorcontrib><creatorcontrib>Krankenberg, Hans</creatorcontrib><creatorcontrib>Steinkamp, Hermann</creatorcontrib><creatorcontrib>Rastan, Aljoscha</creatorcontrib><creatorcontrib>Sixt, Sebastian</creatorcontrib><creatorcontrib>Schmidt, Andrej</creatorcontrib><creatorcontrib>Sievert, Horst</creatorcontrib><creatorcontrib>Minar, Erich</creatorcontrib><creatorcontrib>Bosiers, Marc</creatorcontrib><creatorcontrib>Peeters, Patrick</creatorcontrib><creatorcontrib>Balzer, Jörn O.</creatorcontrib><creatorcontrib>Gray, William</creatorcontrib><creatorcontrib>Tübler, Thilo</creatorcontrib><creatorcontrib>Wissgott, Christian</creatorcontrib><creatorcontrib>Schwarzwälder, Uwe</creatorcontrib><creatorcontrib>Scheinert, Dierk</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of endovascular therapy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Zeller, Thomas</au><au>Krankenberg, Hans</au><au>Steinkamp, Hermann</au><au>Rastan, Aljoscha</au><au>Sixt, Sebastian</au><au>Schmidt, Andrej</au><au>Sievert, Horst</au><au>Minar, Erich</au><au>Bosiers, Marc</au><au>Peeters, Patrick</au><au>Balzer, Jörn O.</au><au>Gray, William</au><au>Tübler, Thilo</au><au>Wissgott, Christian</au><au>Schwarzwälder, Uwe</au><au>Scheinert, Dierk</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>One-Year Outcome of Percutaneous Rotational Atherectomy with Aspiration in Infrainguinal Peripheral Arterial Occlusive Disease: The Multicenter Pathway PVD Trial</atitle><jtitle>Journal of endovascular therapy</jtitle><addtitle>J Endovasc Ther</addtitle><date>2009-12</date><risdate>2009</risdate><volume>16</volume><issue>6</issue><spage>653</spage><epage>662</epage><pages>653-662</pages><issn>1526-6028</issn><eissn>1545-1550</eissn><abstract>Purpose:
To report a safety and efficacy study of a novel rotational atherectomy system with aspiration capabilities for the treatment of infrainguinal arterial lesions.
Methods:
From February 2006 to January 2007, 172 patients (88 women; mean age 72 years, range 51–93; 47% diabetics) with Rutherford class 1–5 lower limb ischemia were enrolled at 9 study sites. Inclusion criteria were atherosclerotic stenoses >70% and up to 10 cm long in the femoropopliteal segment or up to 3 cm long in the infrapopliteal vessels (reference vessel diameter 3.0–5.0 mm). In the study, 210 lesions (mean length 2.7 cm) were treated with the Pathway PV System, including total occlusions (31%), lesions with a moderate to high calcium score (51%), and post-angioplasty (non-stent) restenotic lesions (15%). The primary study endpoint was the 30-day major adverse event (MAE) rate.
Results:
Device success was 99% (208/210 lesions). MAE at 30 days was 1% (2 preplanned amputations). Clinically driven target lesion revascularization rates at 6 and 12 months were 15% (25/172) and 26% (42/162), respectively. The 1-year restenosis rate was 38.2% based on duplex imaging. The ankle-brachial index increased significantly from 0.59±0.21 at baseline to 0.82±0.27 (p<0.05) at 12 months. Mean Rutherford class improved from 3.0±0.9 at baseline to 1.5±1.3 at 1 year (p<0.05).
Conclusion:
The use of the Pathway PV System in atherosclerotic lesions appears to be safe and effective in improving stenosis severity, even in the presence of challenging lesion conditions. Vessel patency following intervention appears to be good up to 12 months, and these results translate into clinical benefit.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>19995118</pmid><doi>10.1583/09-2826.1</doi><tpages>10</tpages></addata></record> |
fulltext | fulltext |
identifier | ISSN: 1526-6028 |
ispartof | Journal of endovascular therapy, 2009-12, Vol.16 (6), p.653-662 |
issn | 1526-6028 1545-1550 |
language | eng |
recordid | cdi_proquest_miscellaneous_734176446 |
source | MEDLINE; SAGE Complete; Alma/SFX Local Collection |
subjects | Aged Aged, 80 and over Amputation Angioplasty, Balloon Ankle - blood supply Arterial Occlusive Diseases - diagnosis Arterial Occlusive Diseases - physiopathology Arterial Occlusive Diseases - therapy Atherectomy - adverse effects Atherectomy - instrumentation Atherectomy - methods Blood Pressure Brachial Artery - physiopathology Clinical outcomes Constriction, Pathologic Equipment Design Europe Female Humans Limb Salvage Lower Extremity - blood supply Male Middle Aged Peripheral Vascular Diseases - diagnosis Peripheral Vascular Diseases - physiopathology Peripheral Vascular Diseases - therapy Prospective Studies Recurrence Severity of Illness Index Suction - adverse effects Suction - instrumentation Time Factors Treatment Outcome Ultrasonography, Doppler, Duplex Vascular surgery Vein & artery diseases |
title | One-Year Outcome of Percutaneous Rotational Atherectomy with Aspiration in Infrainguinal Peripheral Arterial Occlusive Disease: The Multicenter Pathway PVD Trial |
url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-07T00%3A56%3A43IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=One-Year%20Outcome%20of%20Percutaneous%20Rotational%20Atherectomy%20with%20Aspiration%20in%20Infrainguinal%20Peripheral%20Arterial%20Occlusive%20Disease:%20The%20Multicenter%20Pathway%20PVD%20Trial&rft.jtitle=Journal%20of%20endovascular%20therapy&rft.au=Zeller,%20Thomas&rft.date=2009-12&rft.volume=16&rft.issue=6&rft.spage=653&rft.epage=662&rft.pages=653-662&rft.issn=1526-6028&rft.eissn=1545-1550&rft_id=info:doi/10.1583/09-2826.1&rft_dat=%3Cproquest_cross%3E734176446%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=211134626&rft_id=info:pmid/19995118&rft_sage_id=10.1583_09-2826.1&rfr_iscdi=true |