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Airway management is essential in emergency and surgical medicine, ensuring ventilation and oxygenation in patients who cannot maintain their own airway. Clinicians use a range of techniques and devices to secure the airway, depending on the patient’s condition and the clinical context. Key methods include endotracheal intubation, rapid sequence intubation (RSI), supraglottic airway devices, and advanced visualization aids. In cases where these approaches fail, surgical airway...
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Updated: Jul 16, 2025

Author Spotlight: Cutting-Edge Robotic Heller Myotomy Protocol for Treatment of Achalasia
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[Atherectomy with a Novel Device Offering Wider Options].

Jörg Teßarek1, Florian Elger2, Ralf Kolvenbach3

  • 1Gefäßchirurgie, Bonifatius-Hospital, Lingen, Deutschland.

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The ByCross atherectomy device demonstrates feasibility for complex arterial lesions, offering a safe alternative to bypass surgery. It achieved significant lumen gain with zero embolic events and no vessel injuries in a recent study.

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Area of Science:

  • Endovascular therapy
  • Vascular surgery
  • Interventional cardiology

Context:

  • Catheter-based atherectomy has evolved, with recent data supporting multifunctional devices for complex lesions.
  • Previous studies showed mixed conclusions regarding atherectomy's efficacy and safety.
  • Bypass surgery remains a common treatment, but endovascular options are increasingly explored.

Purpose:

  • To compare the ByCross atherectomy device's performance against existing systems.
  • To evaluate the technical and clinical outcomes of the ByCross device in complex peripheral artery disease.
  • To assess the ByCross device's safety profile, including embolic events and vessel injury.

Summary:

  • The ByCross approval study enrolled patients with more complex lesions (longer length, higher stenosis, severe calcification) than prior atherectomy studies.
  • ByCross enabled lesion recanalization without prior wire passage in 26.82% of cases and achieved a 4.7 mm lumen gain.
  • The device demonstrated a unique 0% rate of embolic events and 0% revascularization at 6-month follow-up, with no reported vessel injuries.

Impact:

  • New atherectomy systems like ByCross expand endovascular treatment options.
  • The ByCross device shows promise as a safe and effective alternative to bypass surgery, particularly for iliac and femorodistal lesions.
  • This technology may improve patient outcomes and reduce the need for invasive surgical procedures.