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Atherectomy devices: technology update
Nuri I Akkus1, Abdulrahman Abdulbaki1, Enrique Jimenez2
1Department of Cardiology, Louisiana State University Health Sciences Center Shreveport, Shreveport, LA, USA.
Insights
Atherectomy removes artery plaque using specialized devices. This review covers current atherectomy technologies for treating coronary and peripheral arterial diseases effectively.
Area of Science:
- Cardiovascular Medicine
- Interventional Cardiology
- Vascular Surgery
Background:
- Atherosclerotic plaques obstruct arteries, leading to coronary and peripheral arterial diseases.
- Plaque characteristics vary, influencing treatment strategies.
- Atherectomy offers an effective therapeutic option for arterial disease.
Purpose of the Study:
- To review current atherectomy devices.
- To discuss the different mechanisms and indications of atherectomy technologies.
Main Methods:
- Literature review of current atherectomy devices.
- Categorization of devices based on plaque removal mechanisms (cutting, shaving, sanding, vaporization).
Main Results:
- Atherectomy devices are designed with diverse mechanisms to address varied plaque types.
- Specific devices have distinct indications for coronary and peripheral applications.
- The effectiveness of atherectomy in treating arterial disease is established.
Conclusions:
- Current atherectomy devices offer a range of options for plaque removal.
- Device selection is guided by plaque characteristics and arterial location.
- Atherectomy remains a valuable tool in managing atherosclerotic vascular disease.
Abstract:
Atherectomy is a procedure which is performed to remove atherosclerotic plaque from diseased arteries. Atherosclerotic plaques are localized in either coronary or peripheral arterial vasculature and may have different characteristics depending on the texture of the plaque. Atherectomy has been used effectively in treatment of both coronary and peripheral arterial disease. Atherectomy devices are designed differently to either cut, shave, sand, or vaporize these plaques and have different indications. In this article, current atherectomy devices are reviewed.
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