Hybrid revascularization using Silverhawk atherectomy and infrapopliteal bypass for limb salvage

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Reduction of Radiation Exposure during Endovascular Treatment of Peripheral Arterial Disease Combining Fiber Optic RealShape Technology and Intravascular Ultrasound
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Reduction of Radiation Exposure during Endovascular Treatment of Peripheral Arterial Disease Combining Fiber Optic RealShape Technology and Intravascular Ultrasound

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David P Slovut1, Christopher A Demaioribus

  • 1Department of Vascular Medicine, St. Mary's/Duluth Clinic, Duluth, MN, USA. david.slovut@mssm.edu

Annals of Vascular Surgery
|August 31, 2007
PubMed

Patients with limb-threatening ischemia and a paucity of ipsilateral greater saphenous vein for conduit represent a challenge for lower extremity revascularization. We present four patients with limited autogenous conduit who underwent hybrid revascularization using the Silverhawk atherectomy device and infrapopliteal artery bypass for limb-threatening ischemia. All patients experienced complete wound healing in early follow-up. Hybrid revascularization appears safe, produces excellent short-term outcomes, and may be appropriate for patients with limited autogenous vein who require lower extremity revascularization.

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