Related Experiment Video

Updated: Aug 8, 2026

Predicting Amputation using Local Circulating Mononuclear Progenitor Cells in Angioplasty-treated Patients with Critical Limb Ischemia
07:25

Predicting Amputation using Local Circulating Mononuclear Progenitor Cells in Angioplasty-treated Patients with Critical Limb Ischemia

Published on: September 22, 2020

Evaluation of the pullback atherectomy catheter in the treatment of lower limb vascular disease

S Grubnic1, S D Heenan, T M Buckenham

  • 1Department of Diagnostic Radiology, St. George's Hospital, London SW17 0QT, United Kingdom.

Cardiovascular and Interventional Radiology
|May 1, 1996
PubMed

Insights

The Pullback Atherectomy Catheter (PAC) shows high technical success for lower limb vascular disease. However, it often requires additional balloon angioplasty for optimal results.

Area of Science:

  • Vascular Surgery
  • Interventional Cardiology
  • Medical Devices

Background:

  • Lower limb vascular disease, particularly femoropopliteal atherosclerosis, poses significant clinical challenges.
  • Atherectomy devices aim to improve arterial lumen diameter and blood flow.
  • The Pullback Atherectomy Catheter (PAC) is a tool for endovascular intervention.

Purpose of the Study:

  • To prospectively assess the technical success and 1-year patency of the Pullback Atherectomy Catheter (PAC).
  • To evaluate the PAC's efficacy in treating femoropopliteal atherosclerotic disease, graft neointimal hyperplasia, and dissection flaps.

Main Methods:

  • Thirty-nine PAC procedures were performed in 34 patients with lower limb vascular disease.
  • Follow-up included ankle-brachial indices and arteriography at specified intervals.
  • Assessment focused on technical success, lumen improvement, and complications.

Main Results:

  • Technical success was achieved in 97.4% of procedures (38 out of 39).
  • Mean stenosis decreased significantly, but 69.2% of cases needed adjunctive balloon angioplasty.
  • Complications occurred in 15.4% of procedures, with a third requiring surgical intervention.

Conclusions:

  • The PAC is user-friendly and relatively safe for treating lower limb vascular disease.
  • It necessitates additional percutaneous transluminal angioplasty (PTA) to achieve a satisfactory arterial lumen.
  • The PAC demonstrated effectiveness in treating graft neointimal hyperplasia and intimal flaps post-PTA.
Abstract

More Related Videos

Reduction of Radiation Exposure during Endovascular Treatment of Peripheral Arterial Disease Combining Fiber Optic RealShape Technology and Intravascular Ultrasound13:48

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

Published on: April 21, 2023

Upper-extremity Approach for Secondary Access in Transfemoral Transcatheter Aortic Valve Implantation06:04

Upper-extremity Approach for Secondary Access in Transfemoral Transcatheter Aortic Valve Implantation

Published on: August 8, 2025

Related Concept Videos

Assessment of the Cardiovascular System III: Palpation01:27

Assessment of the Cardiovascular System III: Palpation

Palpation involves feeling the body to evaluate texture, size, consistency, and tenderness for assessing cardiovascular health. The following steps are organized in a head-to-toe order:
Jugular Venous Pressure (JVP) Measurement
Position the patient at a thirty- to forty-five-degree angle or in a semi-fowler's position. Look for the highest point of pulsation in the internal jugular vein and measure the vertical distance to the angle of Loius or sternal angle. A normal JVP is 3-4 cm above the...
Cardiac Catheterization III: Left Heart Catheterization01:24

Cardiac Catheterization III: Left Heart Catheterization

Left heart catheterization is an invasive diagnostic procedure used to evaluate the function and structure of the left side of the heart. It is generally performed to diagnose and treat cardiovascular conditions such as valve abnormalities, coronary artery disease, and congenital heart defects.Diagnostic and therapeutic purposesLeft heart catheterization serves various diagnostic and therapeutic purposes, including:Assessing coronary artery bypass grafts.Evaluating coronary artery disease in...
Cardiac Catheterization IV: Nursing Management01:26

Cardiac Catheterization IV: Nursing Management

Nursing responsibilities before cardiac catheterization include:Assess for allergies and establish baseline health status.Before cardiac catheterization, assess the patient for allergies to contrast dye. Perform a comprehensive baseline assessment, including vital signs, heart and breath sounds, and a neurovascular assessment of the extremities, noting distal pulses, skin color, and temperature. Instruct the patient to fast for 8-12 hours before the procedure. Evaluate baseline laboratory...
Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation01:21

Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation

Clinical manifestationsPeripheral Arterial Disease (PAD) manifests through a range of symptoms, from the characteristic intermittent claudication to atypical presentations and severe complications in advanced stages. Intermittent claudication, a hallmark symptom of PAD, presents as exercise-induced muscle pain that typically resolves within minutes of rest. This pain is reproducible and stems from inadequate blood flow, leading to the accumulation of lactic acid produced during anaerobic...
Peripheral Artery Disease III: Interprofessional Care01:27

Peripheral Artery Disease III: Interprofessional Care

Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
Peripheral Artery Disease V: Postoperative Nursing Management01:23

Peripheral Artery Disease V: Postoperative Nursing Management

During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...