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Jetstream Rotational Atherectomy and Drug Coated Balloon Angioplasty with In Stent Re-stenosis and Occlusions. A Two Centre Study

Published:October 07, 2022DOI:https://doi.org/10.1016/j.ejvs.2022.10.014
      Atherectomy can reduce the need for bailout stenting with de novo femoropopliteal lesions,
      • Wu Z.
      • Huang Q.
      • Pu H.
      • Qin J.
      • Wang X.
      • Ye K.
      • et al.
      Atherectomy combined with balloon angioplasty versus balloon angioplasty alone for de novo femoropopliteal arterial diseases: a systematic review and meta-analysis of randomised controlled trials.
      which currently occur in > 50% of such cases and may lead to in stent re-stenosis (ISR) in the long term.
      • Korosoglou G.
      • Giusca S.
      • Langhoff R.
      • Lichtenberg M.
      • Lawall H.
      • Schellong S.
      • et al.
      Safety and effectiveness of endovascular therapy for the treatment of peripheral artery disease in patients with and without diabetes mellitus. Data from the RECording Courses of vascular Diseases (RECCORD) registry in 2123 patients.
      Recent studies have demonstrated the efficacy of Jetstream atherectomy (Boston Scientific, Marlborough, MA, USA) for ISR treatment,
      • Shammas N.W.
      • Jones-Miller S.
      • Shammas G.A.
      • Shammas W.J.
      Jetstream atherectomy in treating femoropopliteal in-stent restenosis: meta-analysis of the JETSTREAM-ISR and JET-ISR trials.
      but atherectomy was not routinely combined with drug coated balloon angioplasty (DCB).

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