Peripheral atherectomy: experimental results with a new device.

Journal Article (Journal Article)

The size of present rotational atherectomy devices is limited in part by a tendency to produce vessel torsion. The authors designed and investigated a large-bore rotational atherectomy device for peripheral atherectomy in a single pass without significant torsion. A plaque was retrieved from 36 of 40 cadaveric iliac arteries. The mean plaque size was 8.4 x 3.9 mm, and the average number retrieved per artery was two. Thirty of 34 severely calcified arteries were treated successfully. Effluent study revealed no distal embolization; however, six perforations and four dissections occurred. Preliminary results suggest that a cutting surface with a relatively large diameter can be designed to be effective without producing vessel torsion. Changes in future designs will include added flexibility and expandable cutting surfaces to enhance safety and minimize entry diameter.

Full Text

Duke Authors

Cited Authors

  • Nakagawa, N; Cragg, AH; Smith, TP; Landas, SK; De Jong, SC

Published Date

  • November 1990

Published In

Volume / Issue

  • 1 / 1

Start / End Page

  • 127 - 132

PubMed ID

  • 2134030

International Standard Serial Number (ISSN)

  • 1051-0443

Digital Object Identifier (DOI)

  • 10.1016/s1051-0443(90)72517-1


  • eng

Conference Location

  • United States