Plaque Modification in Endovascular Procedures in Patients with Infrainguinal Disease
Matthew T Finn1, Joseph J Ingrassia1, Sahil A Parikh1
1Department of Cardiology, Columbia University Irving Medical Center, 161 Fort Washington Avenue, 6th Floor, New York, NY 10032, USA.
Abstract:
Plaque modification (PM) for atherosclerotic peripheral vascular lesions includes a variety of device types to alter the vessel structure with the aim of enhancing procedural success. PM device utilization has expanded significantly in the United States in recent years despite limited high-quality clinical trials. This article reviews societal guidelines for PM, evaluates currently available trial evidence, examines various pathologic subsets in which PM may be used, and discusses future areas for research.
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